Consultant Provider Enrollment Agreement Sample Contracts

Action Request Transmittal‌ Developmental Disabilities Services Lilia Teninty Number: APD-AR-14-068 Authorized Signature Issue Date: 12/5/2014 Topic: Developmental Disabilities Due Date: 12/31/2014 Subject: Consultant Provider Enrollment Agreement-...
Consultant Provider Enrollment Agreement • December 5th, 2014

All DHS employees County DD Program Managers Area Agencies on Aging County Mental Health Directors Aging and People with Disabilities Health Services Children, Adults and Families Other (please specify): CAU; Regional Crisis Programs; Support Services Brokerages; ODDS Regional Coordinators; ReBAR Staff; CIISProgram; ITBSU

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