CFDA Title: Medical Assistance Program, Medicaid Title XIX CFDA Number: 93.778Business Associate Agreement • May 5th, 2020 • Vermont
Contract Type FiledMay 5th, 2020 JurisdictionFor the State For the Subrecipient Name: Debbie Austin Eric Avildsen Phone #: 802-879-5951 802-863-5620 E-mail: debbie.austin@state.vt.us eavildsen@vtlegalaid.org
CFDA Title: Medical Assistance Program, Medicaid Title XIX CFDA Number: 93.778Business Associate Agreement • May 5th, 2020 • Vermont
Contract Type FiledMay 5th, 2020 JurisdictionFor the State For the Subrecipient Name: Debbie Austin Eric Avildsen Phone #: 802-879-5951 802-863-5620 E-mail: debbie.austin@state.vt.us eavildsen@vtlegalaid.org