Common Contracts
4 similar Traditional Participation Agreement contracts
TRADITIONAL PARTICIPATION AGREEMENTTraditional Participation Agreement • May 18th, 2022 • Michigan
THIS AGREEMENT is made by and between Blue Cross Blue Shield of Michigan (“BCBSM”) a Michigan nonprofit healthcare corporation, and the undersigned Independent Therapist (“Provider”) who is licensed or legally authorized to practice in Michigan.
BLUE CROSS BLUE SHIELD OF MICHIGAN BOARD CERTIFIED BEHAVIOR ANALYST PARTICIPATION AGREEMENTTraditional Participation Agreement • February 3rd, 2022 • Michigan
THIS AGREEMENT is made by and between Blue Cross Blue Shield of Michigan a Michigan nonprofit healthcare corporation, (“BCBSM”) and the undersigned Board Certified Behavior Analyst who is legally authorized to practice in Michigan ("Provider").
BLUE CROSS BLUE SHIELD OF MICHIGAN LICENSED PROFESSIONAL COUNSELOR TRADITIONAL PARTICIPATION AGREEMENTTraditional Participation Agreement • July 27th, 2015 • Michigan
THIS AGREEMENT is made by and between Blue Cross Blue Shield of Michigan a Michigan nonprofit healthcare corporation, (“BCBSM”) and the undersigned Licensed Professional Counselor, who is licensed or legally authorized to practice in Michigan ("Provider").
BLUE CROSS BLUE SHIELD OF MICHIGAN CLINICAL LICENSED MASTER’S SOCIAL WORKER TRADITIONAL PARTICIPATION AGREEMENTTraditional Participation Agreement • June 9th, 2010 • Michigan
THIS AGREEMENT is made by and between Blue Cross Blue Shield of Michigan a Michigan nonprofit healthcare corporation, (“BCBSM”) and the undersigned Clinical Licensed Master’s Social Worker, who is licensed or legally authorized to practice in Michigan ("Provider").
