ALASKA COMMUNITY LIVING (ACL) PROGRAM PROVIDER AGREEMENTProvider Agreement • November 28th, 2023
Contract Type FiledNovember 28th, 2023, (Provider) enters into a Provider Agreement with the State of Alaska, Department of Health (DOH), for the purpose of providing non-medical residential care to an adult experiencing a serious mental illness as defined in 7 AAC 70.990 or an adult experiencing Alzheimer’sor related dementia, who requires the protectiveoversight of an assisted living home for the State of Alaska’s Alaska Community Living (ACL) Program. By entering into this Provider Agreement, the Provider agrees to the following, including all applicable provisions of the following Appendices: