INDIVIDUAL PROVIDER AGREEMENT FOR SERVICESIndividual Provider Agreement • July 26th, 2022 • New Jersey
Contract Type FiledJuly 26th, 2022 JurisdictionThis is an Agreement between the Department of Children and Families (“the Department”) and an Individual Provider (the “Provider”). This Agreement is effective on the date of the provider’s signature written on the signature page below.
HORIZON GOVERNMENT PROGRAMS INDIVIDUAL PROVIDER AGREEMENTIndividual Provider Agreement • August 18th, 2023 • New Jersey
Contract Type FiledAugust 18th, 2023 Jurisdiction(Horizon and Provider are each a “Party” and collectively the “Parties”). This Agreement is effective on the first day of the month of , 2023 (the “Effective Date”).
INDIVIDUAL PROVIDER AGREEMENTIndividual Provider Agreement • September 21st, 2018 • Oklahoma
Contract Type FiledSeptember 21st, 2018 JurisdictionBased upon the following recitals, the Oklahoma Health Care Authority (OHCA hereafter) and Provider enter into this Agreement: