Group Participating Provider Agreement Sample Contracts

Washington Regulatory Requirements Addendum
Group Participating Provider Agreement • October 8th, 2021

This Washington State Regulatory Requirements Addendum (this “Addendum”) is made part of the Group Participating Provider Agreement (“Agreement”) entered into between United Behavioral Health (“UBH”) and the health care professional or entity named in the Agreement (“Provider”).

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GROUP PARTICIPATING PROVIDER AGREEMENT
Group Participating Provider Agreement • September 12th, 2022

THIS AGREEMENT is between United Behavioral Health ("UBH") and the undersigned group provider (hereinafter referred to as the "Provider"). This Agreement will become effective upon the date set forth on the signature page of this Agreement or the date of first credentialed Group-based Provider whichever is later (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.

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