Common Contracts
1 similar Provider Enrollment Application and Agreement contracts
Provider Enrollment Application and AgreementProvider Enrollment Application and Agreement • May 5th, 2020
This Provider Enrollment Application and Agreement “Agreement”, sets forth the conditions and agreements for being enrolled as a provider with the State of Oregon Department of Human Services (DHS), Office of Developmental Disabilities Services (ODDS) and to receive a provider number in order to receive payment for services furnished by the provider to approved service recipients in Oregon. Payments for services are made
