Common Contracts

AMENDMENT TO THE NETWORK INDIVIDUAL PROVIDER AGREEMENT BETWEEN MAINEHEALTH ACCOUNTABLE CARE ORGANIZATION AND PROVIDER

Network Individual Provider Agreement • April 4th, 2016

• Contract Type
  Network Individual Provider Agreement
• Filed
  April 4th, 2016

THIS Addendum (the “Addendum”), effective _______________, by and among the MAINEHEALTH ACCOUNTABLE CARE ORGANIZATION (“MHACO”), a Maine nonprofit corporation and ____________________________________________ (“PROVIDER”), amends the Network Individual Provider Agreement (“NIPA”) previously executed between the Parties.