Assistance Provider Agreement Sample Contracts

OHIO DEPARTMENT OF JOB AND FAMILY SERVICES OHIO MEDICAL ASSISTANCE PROVIDER AGREEMENT FOR MANAGED CARE PLAN ABD ELIGIBLE POPULATION
Assistance Provider Agreement • August 7th, 2007 • Molina Healthcare Inc • Hospital & medical service plans • Ohio

The following table shows the specified policy changes for which Mercer adjusted the SFY 2003 and SFY 2004 data. Mercer calculated the adjustments based on the “History of Policy Changes” document and other information supplied by the State.

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OHIO DEPARTMENT OF JOB AND FAMILY SERVICES OHIO MEDICAL ASSISTANCE PROVIDER AGREEMENT FOR MANAGED CARE PLAN CFC ELIGIBLE POPULATION
Assistance Provider Agreement • June 29th, 2007 • Wellcare Health Plans, Inc. • Hospital & medical service plans • Ohio

credibility factor which accounts for differences in State enrollment patterns and data sources. It has been applied to the paid claims and utilization for non-delivery FFS base data.

OUT-OF-STATE/TRIBAL CARE ASSISTANCE PROVIDER AGREEMENT
Assistance Provider Agreement • November 30th, 2015

This Agreement is between the North Dakota Department of Human Services (NDDHS) Child Care Assistance Program (CCAP) and the provider of child care (Provider) to children authorized under this Agreement. The Provider agrees to comply with this Agreement and all applicable state statues, North Dakota Administrative Code (NDAC), and all applicable Federal statutes and regulations in order to be paid for providing child care.

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