Common Contracts
1 similar Provider Enrollment Agreement contracts
PROVIDER ENROLLMENT AGREEMENTProvider Enrollment Agreement • March 14th, 2016
This Agreement sets forth the conditions for being enrolled with the Department of Human Services (DHS) to provide Consultant services (hereinafter referred to as “Provider”) and to receive a provider number in order to submit payment claims, and to receive payment for services to developmentally disabled clients of Community Developmental Disability Programs or Brokerages. Payments for services are made using federal Medicaid funds, or State of Oregon funds, or a combination of both state and federal funds.
