Common Contracts
1 similar Provider Agreement contracts
State of Alaska, Department of Health and Social Services Division of Behavioral Health Grants & Contracts Support Team FASD DIAGNOSTIC SERVICES PROVIDER AGREEMENTProvider Agreement • November 5th, 2020
_________________________________________, (Provider) enters into a Provider Agreement with the State of Alaska, Department of Health & Social Services (DHSS) for the purpose of providing FASD Diagnostic Services to referred individuals for the State of Alaska’s Statewide FASD Diagnostic Services Program. By entering into this Provider Agreement, the Provider agrees to the following, including all applicable provisions of the following Appendices:
