MENTAL HEALTH and SUBSTANCE ABUSE MANAGED CARE PROGRAM PROFESSIONAL PARTICIPATION AGREEMENTProfessional Participation Agreement • June 22nd, 2015 • Michigan
Contract Type FiledJune 22nd, 2015 JurisdictionThis agreement (Agreement) is between Blue Cross Blue Shield of Michigan (BCBSM), and the provider (Provider) whose name and address are indicted on the Signature document.