Participation and Payment Agreement Sample Contracts

PARTICIPATION AND PAYMENT AGREEMENT
Participation and Payment Agreement • July 28th, 2017

 That upon acceptance of this agreement, the South Carolina Department of Health and Human Services (SCDHHS) will issue a Medicaid provider number.

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PARTICIPATION AND PAYMENT AGREEMENT
Participation and Payment Agreement • November 14th, 2023

► That upon acceptance of this agreement, the South Carolina Department of Health and Human Services (SCDHHS) will issue a Medicaid provider number.

Contract
Participation and Payment Agreement • April 2nd, 2021
PARTICIPATION AND PAYMENT AGREEMENT
Participation and Payment Agreement • January 12th, 2019
Contract
Participation and Payment Agreement • April 24th, 2020
JUPITER VOLLEYBALL CLUB PARTICIPATION AND PAYMENT AGREEMENT
Participation and Payment Agreement • November 13th, 2022

PLAYER COMMITMENT: I understand as a player with Jupiter Volleyball Club, I am making a commitment to the Club, Coach, and Teammates. I will represent my team and Club with dignity and pride. I will respect my fellow Players, Coaches, Trainer, and Opponents at all times.

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