Common Contracts
1 similar Provider Enrollment Agreement contracts
Provider Enrollment AgreementProvider Enrollment Agreement • December 28th, 2016
This Enrollment Agreement sets forth the conditions for being enrolled as a Provider with the Oregon Health Authority (“Authority”) and to receive a Provider Number in order to submit claims, and receive payment, for medical care, services, equipment and/or supplies furnished by Provider to persons eligible for medical assistance in Oregon ("Recipients"). Payments for medical assistance are made using Medicaid, State Children's Health Insurance Program, or funds from other federally funded programs.
