MEDICARE ADVANTAGE PROVIDER AGREEMENT FEDERALLY QUALIFIED HEALTH CENTER PARTICIPATION SIGNATURE DOCUMENTMedicare Advantage Provider Agreement • November 24th, 2022
Contract Type FiledNovember 24th, 2022IN WITNESS WHEREOF, the Provider wishing to be bound by the terms and conditions of the BCBSM Medicare Advantage Provider Agreement (WP 10380 NOV 15) (Agreement) and the Medicare Advantage Provider Agreement Federally Qualified Health Center Facility Attachment (WP 10646 NOV 15) has affixed its signature to this Signature Document which is incorporated by reference in the Agreement.