Common Contracts

MEDICAL ASSISTANCE PROVIDER ENROLLMENT & TRADING PARTNER AGREEMENT

Trading Partner Agreement • March 17th, 2006 • Michigan

• Contract Type
  Trading Partner Agreement
• Filed
  March 17th, 2006
• Jurisdiction
  Michigan

Attached is the Medical Assistance Provider Enrollment & Trading Partner Agreement form that is used for enrollment as a provider in the Michigan Medicaid and the State Medical Programs.