Common Contracts

7 similar Adult Community Autism Program Agreement contracts

OFFICE OF DEVELOPMENTAL PROGRAMS BUREAU OF SUPPORT FOR AUTISM AND SPECIAL POPULATIONS AGREEMENT for the ADULT COMMUNITY AUTISM PROGRAM (ACAP)
Adult Community Autism Program Agreement • 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

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AGREEMENT for the ADULT COMMUNITY AUTISM PROGRAM (ACAP)
Adult Community Autism Program Agreement • 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 ADULT COMMUNITY AUTISM PROGRAM (ACAP)
Adult Community Autism Program Agreement • December 16th, 2021

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 Agreement • 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
Adult Community Autism Program Agreement • November 14th, 2019
AGREEMENT for the
Adult Community Autism Program Agreement • June 15th, 2018
AGREEMENT for the
Adult Community Autism Program Agreement • September 16th, 2016
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