Common Contracts

Fee-for-Service (FFS) only or FFS and Managed Care Organization In-Network Provider Agreement

Fee-for-Service (Ffs) and Managed Care Organization in-Network Provider Agreement • May 3rd, 2023

• Contract Type
  Fee-for-Service (Ffs) and Managed Care Organization in-Network Provider Agreement
• Filed
  May 3rd, 2023

Use this form if you or your entity provide services to MHCP fee-for-service (FFS) members OR you are a provider providing services to MHCP FFS members AND you are an in-network provider with a Managed Care Organization (MCO) to provide services to MHCP managed care members.