Common Contracts

2 similar Provider Agreement contracts

MENTAL HEALTH PROFESSIONAL RE-EVALUATOR PROVIDER AGREEMENT
Provider Agreement • May 12th, 2020

, (Provider) enters into a Provider Agreement with the State of Alaska, Department of Health & Social Services (DHSS) for the purpose of evaluating eligible clients in locations that are not Designated Evaluation and Treatment (DET) facilities or to help clarify if the client still meets the criteria for involuntary commitment or needs to be held under a judicial ex parte order pending transport to Alaska Psychiatric Institute (API) or another DET facility for further evaluation or treatment. By entering into this Provider Agreement, the Provider agrees to the following, including all applicable provisions of the following Appendices:

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MENTAL HEALTH PROFESSIONAL RE-EVALUATOR PROVIDER AGREEMENT
Provider Agreement • May 12th, 2020

, (Provider) enters into a Provider Agreement with the State of Alaska, Department of Health & Social Services (DHSS) for the purpose of evaluating eligible clients in locations that are not Designated Evaluation and Treatment (DET) facilities or to help clarify if the client still meets the criteria for involuntary commitment or needs to be held under a judicial ex parte order pending transport to Alaska Psychiatric Institute (API) or another DET facility for further evaluation or treatment. By entering into this Provider Agreement, the Provider agrees to the following, including all applicable provisions of the following Appendices:

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