CHILDREN’S LONG-TERM SUPPORT (CLTS) WAIVER PROGRAM PROVIDER AGREEMENT AND ACKNOWLEDGEMENT OF TERMS OF PARTICIPATIONDepartment of Health Services • May 5th, 2020
Contract Type FiledMay 5th, 2020Completion of this form is required under Federal Law by the Centers for Medicare & Medicaid Services, U.S. Department of Health and Human Services, under the Code of Federal Regulations 42 CFR 431.107.