ContractSharing Agreement • September 8th, 2010
Contract Type FiledSeptember 8th, 2010VA/Department of Defense Sharing Agreement INSTRUCTIONS:1. A proposed agreement must include this form, signed by both parties and submitted to the approving authorities in each Department. Normally, agreements will go into effect 46 days after receipt by the approving authorities provided no disapproval has been transmitted in writing to one or both parties signing the agreement. Agreements will go into effect earlier than the 46-day period if approvals are obtained from both Departments' approving authorities. Agreements may go into effect more than 46 days after receipt if a later date is indicated in Box 3. 2. If additional resources are required to implement an agreement, approval must be obtained from the Department providing the resources prior to submitting the proposal. 3. The organization providing care should prepare a claim for services/care provided on an approved industry standard claim form (i.e. CMS 1500 / UB 04), if possible. The form should be transmitted via the orga