Common Contracts

2 similar Iowa Medicaid Provider Agreement contracts

IOWA DEPARTMENT OF HUMAN SERVICES IOWA MEDICAID ENTERPRISE Iowa Medicaid Provider Agreement
Iowa Medicaid Provider Agreement • October 12th, 2020 • Iowa

This is a Provider Agreement for participation in Title XIX of the Social Security Act (as amended) and the State funded medical assistance program known as the Iowa Medicaid Program. This Agreement, effective on the date specified on the signature page of this document, is between the State of Iowa, Department of Human Services, hereafter called the Department and the undersigned [Provider, Group Provider and its members or Practitioner(s)] hereafter called the Provider. The operations management responsibility for the Iowa Medicaid Program is through the Iowa Medicaid Enterprise (IME). On its effective date, this Agreement supersedes and replaces any existing contracts between the parties related to the provision of health care goods and/or services to recipients of the Iowa Medicaid Program. The effective term of this Agreement shall be six (6) years from the date signed herein.

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IOWA DEPARTMENT OF HUMAN SERVICES IOWA MEDICAID ENTERPRISE Iowa Medicaid Provider Agreement
Iowa Medicaid Provider Agreement • October 12th, 2020 • Iowa

This is a Provider Agreement for participation in Title XIX of the Social Security Act (as amended) and the State funded medical assistance program known as the Iowa Medicaid Program. This Agreement is between the State of Iowa, Department of Human Services, (the “Department”) and the undersigned [Provider, Group Provider and its members or Practitioner(s)] (the “Provider”). The operations management responsibility for the Iowa Medicaid Program is through the Iowa Medicaid Enterprise (the “IME”). This agreement is effective upon acceptance by the Department, which shall be signified by the IME noting in its electronic files that the agreement has been accepted and the Provider is permitted to submit claims to Iowa Medicaid. On its effective date, this Agreement supersedes and replaces any existing contracts between the parties related to the provision of health care goods and/or services to recipients of the Iowa Medicaid Program. The term of this Agreement shall be six (6) years from

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