Common Contracts
2 similar null contracts
WISCONSIN MEDICAID CRS BENEFIT PROVIDER AGREEMENT AND ACKNOWLEDGEMENT OF TERMS OF PARTICIPATIONApril 29th, 2019
Completion of this form is required under Federal Law by the Centers for Medicare & Medicaid Services, Department of Health and Human Services, under the Code of Federal Regulations 42 CFR 431.107.
ContractNovember 9th, 2017
DEPARTMENT OF HEALTH SERVICES STATE OF WISCONSINDivision of Care and Treatment Services 42 CFR 431.107F-00312A (08/2016) WISCONSIN MEDICAID CRS BENEFIT PROVIDER AGREEMENT AND ACKNOWLEDGEMENT OF TERMS OF PARTICIPATIONFOR INDIVIDUAL OR NON-SPECIFIED COMMUNITY RECOVERY SERVICES PROVIDERS1 Completion of this form is required under Federal Law by the Centers for Medicare & Medicaid Services, Department of Health and Human Services, under the Code of Federal Regulations 42 CFR 431.107.
