FACILITY PARTICIPATING PROVIDER AGREEMENTFacility Participating Provider Agreement • August 26th, 2020 • Washington
THIS AGREEMENT is between North Sound Behavioral Health Administrative Services Organization ("North Sound BH-ASO") and the undersigned facility provider (hereinafter referred to as the "Facility Participating Provider"). This Agreement will become effective upon the date set forth in North Sound BH-ASO's executed Acceptance Letter (the "Effective Date"). This Agreement sets forth the terms and conditions under which Facility Participating Provider shall participate in one or more networks developed by North Sound BH-ASO as a Facility Participating Provider of Psychiatric Inpatient Services in the North Sound Regional Service Area, which includes Island, San Juan, Skagit, Snohomish and Whatcom Counties.
FACILITY PARTICIPATING PROVIDER AGREEMENTFacility Participating Provider Agreement • January 22nd, 2021 • Washington
THIS AGREEMENT is between North Sound Behavioral Health Administrative Services Organization ("North Sound BH-ASO") and the undersigned facility provider Valley Cities Counseling and Consultation (hereinafter referred to as the "Facility Participating Provider"). This Agreement will become effective upon the date set forth in North Sound BH-ASO’s executed Acceptance Letter (the "Effective Date"). This Agreement sets forth the terms and conditions under which Facility Participating Provider shall participate in one or more networks developed by North Sound BH-ASO as a Facility Participating Provider of Psychiatric Inpatient Services in the North Sound Regional Service Area, which includes Island, San Juan, Skagit, Snohomish and Whatcom Counties.
FACILITY PARTICIPATING PROVIDER AGREEMENTFacility Participating Provider Agreement • June 20th, 2019
THIS AGREEMENT is between United Behavioral Health ("UBH") and the undersigned facility provider (hereinafter referred to as the "Provider"). This Agreement will become effective upon the date set forth in UBH’s executed Acceptance Letter (the "Effective Date"). This Agreement sets forth the terms and conditions under which Provider shall participate in one or more networks developed by UBH as a Participating Provider of Covered Services to Members.
