DAVIS VISION PROVIDER DOCUMENT REQUIREMENTS FOR THE COMMONWEALTH OF PENNSYLVANIAProvider Agreement • July 18th, 2005
Contract Type FiledJuly 18th, 2005invoiced to Pennsylvania (PA) Medical Assistance MCO Program on a fee-for-service basis. To the extent permitted by law, PROVIDER shall provide a courtesy discount of twenty percent (20%) off PROVIDER’s usual and customary fees to Participant(s) for the purchase of materials not covered by a Plan.