Common Contracts

PARTICIPATION AGREEMENT

Traditional Participation Agreement • November 29th, 2017 • Michigan

• Contract Type
  Traditional Participation Agreement
• Filed
  November 29th, 2017
• Jurisdiction
  Michigan

This Agreement is made by and between Blue Cross Blue Shield of Michigan (BCBSM) and Facility, a Substance Abuse (SA) treatment facility whose tax name, business name and primary site address are listed on the accompanying Signature Document, and whose additional approved sites, if applicable, are listed on Addendum H.