Common Contracts
1 similar Behavioral Health Administrative Services Organization Contract contracts
Attachment 1 – Draft Sample BH-ASO ContractBehavioral Health Administrative Services Organization Contract • March 17th, 2017 • Washington
WASHINGTON BEHAVIORAL HEALTH – ADMINISTRATIVESERVICES ORGANIZATION CONTRACT HCA Contract Number: Awarded from - This Contract is between the State of Washington Health Care Authority (HCA) and the Contractor identified below, and is governed by chapter 41.05 RCW and Title 182 WAC. CONTRACTOR NAME . CONTRACTOR doing business as (DBA) CONTRACTOR ADDRESS WASHINGTON UNIFORM BUSINESS IDENTIFIER (UBI) CONTRACTOR CONTACT CONTRACTOR TELEPHONE CONTRACTOR E-MAIL ADDRESS HCA CONTACT NAME AND TITLE HCA CONTACT ADDRESS HCA CONTACT TELEPHONE HCA CONTACT FAXN/A HCA CONTACT E-MAIL ADDRESS IS THE CONTRACTOR A SUB-RECIPIENT FOR PURPOSES OF THIS CONTRACT?No CFDA NUMBER(S) N/A CONTRACT START DATE CONTRACT END DATE MAXIMUM CONTRACT AMOUNT EXHIBITS. The following Exhibits are attached and are incorporated into this Contract by reference:Exhibits: Attachment. The terms and conditions of this Contract are an integration and representation of the final, entire and exclusive understanding between the parties s
