Department of Health and Senior Services Sample Contracts

DEPARTMENT OF HEALTH AND SENIOR SERVICES HOME AND COMMUNITY BASED SERVICES (HCBS) PROVIDER CORONAVIRUS RELIEF FUND (CRF) REIMBURSEMENT AGREEMENT AND ATTESTATION
Department of Health and Senior Services • July 30th, 2020

This is an Agreement and Attestation (hereinafter referred to as “the Agreement”) between the State of Missouri, Missouri Department of Health and Senior Services (DHSS) and  HCBS Provider Name  (hereinafter referred to as “the provider”) for the distribution of supplemental payments from federal funds.

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