Instructions After reviewing this document in its entirety, print it and sign the provider qualification attestation. Send this signed and dated form, including all of the additional required documentation, to the Department of Social and Health...August 13th, 2018
FiledAugust 13th, 2018This contract is intended for contractors who provide non-medical equipment and supplies, such as waterproof mattress covers, handheld showers, reachers, adaptive utensils, plates, cups, and assistive technology devices.