ContractBilling Agreement • January 4th, 2019
Contract Type FiledJanuary 4th, 2019This Billing Agreement, between [TRIBE] (herein called the Tribe), and the [BROKER] (herein called the Broker) authorizes the Tribe to transport Medicaid‐eligible clients to medical appointments covered by the Medicaid program, for non‐emergency transportation. The service is designated to apply to the following categories of Medicaid‐eligible individuals: