INTERMEDIATE CARE FACILITY FOR THE MENTALLY RETARDED PROVIDER AGREEMENTIntermediate Care Facility Provider Agreement • April 10th, 2012
Contract Type FiledApril 10th, 2012wishes to participate in the Connecticut Medical Assistance Program (hereinafter “Medicaid”) as an Intermediate Care Facility for the Mentally Retarded (hereinafter “ICF/MR”) and, therefore, represents and agrees as follows: