Common Contracts

OFFICE OF DEVELOPMENTAL PROGRAMS BUREAU OF SUPPORT FOR AUTISM AND SPECIAL POPULATIONS AGREEMENT for the ADULT COMMUNITY AUTISM PROGRAM (ACAP)

April 27th, 2023

• Filed
  April 27th, 2023

ATTACHMENT I: HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (HIPAA) BUSINESS ASSOCIATE AGREEMENT AND DATA CERTIFICATION ATTACHMENT II: FINANCIAL REPORT FORMAT ATTACHMENT III: PERSON LEVEL ENCOUNTER REPORTING FORMAT ATTACHMENT IV: NONDISCRIMINATION NOTICE ATTACHMENT V: TOP FIFTEEN PREVALENT NON-ENGLISH LANGUAGE TAGLINES ATTACHMENT VI: NONDISCRIMINATION NOTICE AND TOP TWO PREVALENT NON-ENGLISH LANGUAGE TAGLINES

AGREEMENT for the ADULT COMMUNITY AUTISM PROGRAM (ACAP)

February 17th, 2022

• Filed
  February 17th, 2022

ATTACHMENT I: HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (HIPAA) BUSINESS ASSOCIATE AGREEMENT AND DATA CERTIFICATION ATTACHMENT II: FINANCIAL REPORT FORMAT ATTACHMENT III: PERSON LEVEL ENCOUNTER REPORTING FORMAT ATTACHMENT IV: NONDISCRIMINATION NOTICE ATTACHMENT V: TOP FIFTEEN PREVALENT NON-ENGLISH LANGUAGE TAGLINES ATTACHMENT VI: NONDISCRIMINATION NOTICE AND TOP TWO PREVALENT NON-ENGLISH LANGUAGE TAGLINES

AGREEMENT for the

June 9th, 2021

• Filed
  June 9th, 2021

This Agreement is entered into between the Commonwealth of Pennsylvania Department of Human Services (hereinafter the Department), and Keystone Autism Services, a wholly owned subsidiary of Keystone Human Services, Inc. (hereinafter the Contractor), with a principal place of business located at 4391 Sturbridge Drive, Harrisburg, Pennsylvania 17110 and is effective July 1, 2019.

AGREEMENT for the

June 15th, 2018

• Filed
  June 15th, 2018

AGREEMENT for the

September 16th, 2016

• Filed
  September 16th, 2016