Common Contracts
1 similar null contracts
Developmental Disabilities Agency Medicaid Provider Enrollment Application and Agreement Revised 10/13/2016October 20th, 2016
This Provider Enrollment Application and Agreement, hereinafter referred to as the “Agreement”, sets forth the conditions and agreements for being enrolled as a Provider with the State of Oregon Department of Human Services (DHS), Office of Developmental Disabilities Services (ODDS) and to receive a Provider number. The Provider number is required prior to receiving authorization to provide services, to submit claims for payment, and to receive payment for Medicaid services furnished by Provider to Medicaid-eligible individuals in Oregon home and community-based settings. Payments for services are made using federal Medicaid and state funds.
