Common Contracts

PARTICIPATION AGREEMENT

Hospice Provider Participation Agreement • January 28th, 2022 • Michigan

• Contract Type
  Hospice Provider Participation Agreement
• Filed
  January 28th, 2022
• Jurisdiction
  Michigan

This Agreement is made by and between Blue Cross Blue Shield of Michigan (BCBSM) and Facility, a Hospice facility whose tax name, business name (dba) and address are listed on the accompanying Signature Document and whose additional approved sites, if applicable, are listed on Addendum I.