Common Contracts
1 similar Information Submission Agreement contracts
Department of Health and Social Services PROVIDER INFORMATION SUBMISSION AGREEMENTInformation Submission Agreement • March 14th, 2024
The following constitutes an Information Submission Agreement between a provider enrolled in the Alaska Department of Health and Social Services Medical Assistance Program (“Provider”), and the State of Alaska, Department of Health and Social Services (“State”). The terms of this agreement govern the submission of clinical and financial information sent to the State in support of services performed by the Provider.
