Common Contracts

AGREEMENT FOR ADVANCE OF PAYMENT BETWEEN

Advance Payment Agreement • June 5th, 2018 • Ohio

• Contract Type
  Advance Payment Agreement
• Filed
  June 5th, 2018
• Jurisdiction
  Ohio

This Agreement for Advance of Payment (“Agreement”) is entered into between the Medicaid Managed Care Plan listed above (hereafter referred to as the “Plan”) and the Behavioral Health Provider listed above (“Provider”). The Plan and Provider may be collectively referred to as the “Parties.”