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
Contract Type FiledApril 27th, 2023ATTACHMENT 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 • February 17th, 2022
Contract Type FiledFebruary 17th, 2022ATTACHMENT 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
Contract Type FiledDecember 16th, 2021ATTACHMENT 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 theAdult Community Autism Program Agreement • June 9th, 2021
Contract Type FiledJune 9th, 2021This 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 theAdult Community Autism Program Agreement • November 14th, 2019
Contract Type FiledNovember 14th, 2019
AGREEMENT for theAdult Community Autism Program Agreement • June 15th, 2018
Contract Type FiledJune 15th, 2018
AGREEMENT for theAdult Community Autism Program Agreement • September 16th, 2016
Contract Type FiledSeptember 16th, 2016