Common Contracts

3 similar Enrollment Agreement contracts

CONTENTS
Enrollment Agreement • May 17th, 2024

If you are completing this agreement for a new enrollment that resulted in being issued a new Medicaid Billing Group ID, you must contact the Managed Care Operations (MCO) Division at Medicaid for additional processing. Failure to contact MCO may result in omitted attribution for the new Medicaid Billing Group ID. You may contact MCO at ACHN@medicaid.alabama.gov.

AutoNDA by SimpleDocs
CONTENTS
Enrollment Agreement • May 28th, 2021
Application Agreement Attachment A Attachment B Attachment C
Enrollment Agreement • May 13th, 2019
Draft better contracts in just 5 minutes Get the weekly Law Insider newsletter packed with expert videos, webinars, ebooks, and more!