PROVIDER PARTICIPATION AGREEMENTProvider Participation Agreement • March 30th, 2015
Contract Type FiledMarch 30th, 2015The parties agree that this Amendment A updates Provider Participation Agreement (PPA) # 30-1318, dated 09/30/2013 by amending the PPA in its entirety. This Amendment A removes all provisions of the PPA and inserts the following provisions effective on July 1, 2015.