Crisis Placement Provider Agreement Sample Contracts

CRISIS PLACEMENT PROVIDER AGREEMENT
Crisis Placement Provider Agreement • December 20th, 2019

, (Provider) enters into a Provider Agreement with the State of Alaska, Department of Health & Social Services (DHSS) for the purpose of providing placement and/or care services to individuals with urgent and/or complex placement needs for the State of Alaska’s Crisis Placement Program. By entering into this Provider Agreement, the Provider agrees to the following, including all applicable provisions of the following Appendices:

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CRISIS PLACEMENT PROVIDER AGREEMENT
Crisis Placement Provider Agreement • May 31st, 2023

, (Provider) enters into a Provider Agreement with the State of Alaska, Department of Family & Community Services (DFCS) for the purpose of providing placement and/or care services to individuals with urgent and/or complex placement needs for the State of Alaska’s Crisis Placement Program. By entering into this Provider Agreement, the Provider agrees to the following, including all applicable provisions of the following Appendices:

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