Medicaid Waiver Services Agreement Sample Contracts

Qualified Organization MEDICAID WAIVER SERVICES AGREEMENT
Medicaid Waiver Services Agreement • December 29th, 2020 • Florida

This Agreement is entered into between the Florida Agency for Persons with Disabilities, hereinafter referred to as "APD," and  , hereinafter referred to as the "Qualified Organization." Pursuant to the terms and conditions of this Agreement, APD authorizes the Qualified Organization to furnish iBudget Home and Community-Based Services (“HCBS”) Medicaid Waiver services to eligible APD clients and receive payment for such services. Qualified Organizations may be authorized to provide services in one or more regions as designated in this Agreement. The services that may be provided in any APD region are limited to the services that the respective Regional Office has authorized.

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MEDICAID WAIVER SERVICES AGREEMENT
Medicaid Waiver Services Agreement • January 27th, 2021 • Florida

This Agreement is entered into between the Florida Agency for Persons with Disabilities, hereinafter referred to as "APD," and , hereinafter referred to

Support Coordinator Dual Employment Medicaid Waiver Services Agreement ATTACHMENT­­ “ ” BETWEEN AGENCY FOR PERSONS WITH DISABILITIES AND Enter WSC Name Here
Medicaid Waiver Services Agreement • December 29th, 2020

This Attachment “ ” (“Attachment”) is to the Medicaid Waiver Services Agreement (“Agreement”) between the Florida Agency for Persons with Disabilities (“APD”) and Enter WSC Name Here’s (“Waiver Support Coordinator” or “WSC”) Agreement dated Enter effective date of MWSA

MEDICAID WAIVER SERVICES AGREEMENT
Medicaid Waiver Services Agreement • May 1st, 2023 • Florida

This Agreement is entered into between the Florida Agency for Persons with Disabilities, hereinafter referred to as “APD”, and  , hereinafter referred to as the “Provider”. Pursuant to the terms and conditions of this Agreement, APD authorizes the Provider to furnish   Home and Community-Based Services (HCBS) Medicaid waiver services to eligible APD clients, and to receive payment for such services. The services that may be provided in any one APD service area are limited to the services that the APD area office, pursuant to the standards specified in Florida’s HCBS waivers, authorizes the Provider to furnish in that service area.

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