COVID 19 RESPONSE INDIVIDUALIZED SERVICES AGREEMENTCovid 19 Response Individualized Services Agreement • July 2nd, 2020
, (Provider) enters into a Provider Agreement with the State of Alaska, Department of Health & Social Services (DHSS) for the purpose of providing services and/or supports to Transitional Aged Youth (TAY) ages 21-24 and Adults experiencing Serious Mental Illness (SMI), for Youth and Adults experiencing a Substance Use Disorder (SUD) or co-occurring SMI and SUD, as well as to Youth experiencing Severe Emotional Disturbance (SED) for the State of Alaska’s COVID 19 Response Individualized Services Agreement Program (CRISP). By entering into this Provider Agreement, the Provider agrees to the following, including all applicable provisions of the following Appendices:
