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Medicaid Network Participating Provider Contract Sample Contracts

NOTE: THIS AGREEMENT IS BINDING UPON EACH PARTY AT THE TIME THAT THEPARTY SIGNS THIS AGREEMENT, PROVIDED THAT THIS AGREEMENT REMAINS SUBJECT TO THE APPROVAL OF THE STATE OF NORTH CAROLINA, AND MAY BE AMENDED BY THE PARTIES TO COMPLY WITH ANY...
Medicaid Network Participating Provider Contract • February 12th, 2025 • North Carolina

is made and entered into by and between Alliance Health , a political subdivision of the State of North Carolina and Prepaid Health Plan operating a Tailored Plan (hereinafter referred to as “Alliance” or “Tailored Plan”), and the Provider listed below (hereinafter referred to as “Provider” or “Participating Provider”), also individually referred to as “Party” and collectively as “Parties”, for Provider’s provision of Medicaid Covered health care items and Services to Alliance’s Tailored Plan Enrollees.

Standard Contracts

THIS IS A COPY OF THE ALLIANCE HEALTH PROFESSIONAL PROVIDER CONTRACT TEMPLATE. IT IS PROVIDED FOR REVIEW ONLY AND IS NOT FORMATTED FOR SIGNATURES.
Medicaid Network Participating Provider Contract • June 7th, 2022 • North Carolina

is made and entered into by and between Alliance Health , a political subdivision of the State of North Carolina and Prepaid Health Plan operating a Tailored Plan (hereinafter referred to as “Alliance” or “Tailored Plan”), and the Provider listed below (hereinafter referred to as “Provider” or “Participating Provider”), also individually referred to as “Party” and collectively as “Parties”, for Provider’s provision of Medicaid Covered health care items and Services to Alliance’s Tailored Plan Enrollees.