Common Contracts
2 similar Service Agreement contracts
VIRGINIA DEPARTMENT OF MEDICAL ASSISTANCE SERVICES SERVICE AGREEMENT BETWEEN THE INDIVIDUAL AND THE CD SERVICES FACILIATION PROVIDERService Agreement • June 26th, 2014
This agreement is made between , hereafter referred to as “Consumer‐Directed (CD) Service Facilitator” and , hereafter referred to as “individual,” for the purpose of establishing the relationship, roles, and responsibilities of the parties. The CD service facilitator is a CD services facilitation provider enrolled in and authorized to provide services through the Virginia CD Service Programs of the waiver services program in which the individual is enrolled. The individual is eligible to receive CD personal care, respite services, and/or companion services, depending upon the services that are allowed in his or her service plan.
SERVICE AGREEMENT BETWEEN THE INDIVIDUAL AND THE CONSUMER-DIRECTED SERVICES FACILIATION PROVIDERService Agreement • August 28th, 2009
This agreement is made between , hereafter referred to as “Consumer-Directed (CD) Service Facilitator” and , hereafter referred to as “individual,” for the purpose of establishing the relationship, roles, and responsibilities of the parties. The CD service facilitator is a CD services facilitation provider enrolled in and authorized to provide services through the Virginia CD Service Programs of the waiver services program in which the individual is enrolled. The individual is eligible to receive CD personal care, respite services, and/or companion services, depending upon the services that are allowed in his or her service plan.
