STANDARD CONTRACTLong-Term Care Health Plan Model Contract • June 21st, 2013
THIS CONTRACT is entered into between the State of Florida, AGENCY FOR HEALTH CARE ADMINISTRATION, hereinafter referred to as the "Agency", whose address is 2727 Mahan Drive, Tallahassee, Florida 32308, and [HEALTH PLAN NAME] hereinafter referred to as the "Vendor" or “Health Plan”, whose address is [Vendor Address], a Florida Corporation, to provide Medicaid Long Term Care Services to eligible Medicaid beneficiaries.
