TELEMEDICINE SERVICES AGREEMENT/CERTIFICATIONTelemedicine Services Agreement • October 3rd, 2016
Contract Type FiledOctober 3rd, 2016I, the undersigned participating physician/provider, agree to provide telemedicine services as described in the Physician chapter of the Alabama Medicaid Provider Manual and in accordance with the terms and conditions expressed in the Medicaid State Plan for Medical Assistance, the Administrative Code and all other federal and state laws and regulations as they pertain to my performance under this agreement.