Assurance AgreementAssurance Agreement • October 16th, 2009
Contract Type FiledOctober 16th, 2009Assurance Initial Will meet all applicable federal and state regulations. Understands and will follow all applicable DDS policies and procedures Will protect the confidentiality of the individual and family’s information Will bill only for services that are actually provided Will submit billing documents after service is provided and within 60 days Will accept payment from DDS as payment in full Will not require a participant to sign an agreement that they will not change Clinical BehavioralConsultants as a condition of providing services Understands and will follow all Waiver requirements detailed in the HCBS Waivers manual. Will allow state and federal offices responsible for program administration and audit to reviewservice records and have access to program sites Will sign a provider agreement with the individual and family Will comply with State of Connecticut Ethics Protocols Will comply with the Drug Free Policy of the Department. Will have knowledge of a