PARTICIPATING PROVIDER AGREEMENTParticipating Provider Agreement • May 4th, 2022 • Ohio
Contract Type FiledMay 4th, 2022 JurisdictionThis Participating Provider Agreement (together with all Attachments and amendments, this “Agreement”) is made and entered by and between (“Provider”) and Buckeye Community Health Plan (“Health Plan”) (each a “Party” and collectively the “Parties”). This Agreement is effective as of the date designated by Health Plan on the signature page of this Agreement (“Effective Date”).