Illinois Department of Healthcare and Family Services Illinois Health Connect Primary Care Provider AgreementPrimary Care Provider Agreement • June 23rd, 2014
(HFS) and the Provider under HFS' Primary Care Case Management (PCCM) and the Maternal and Child Health (MCH) programs. This Agreement does not affect any other relationship or agreement, including the general Provider Agreement, between HFS and the Provider. For purposes of this program and this Agreement, Provider will be called a Primary Care Provider (PCP).
PRIMARY CARE PROVIDER AGREEMENTPrimary Care Provider Agreement • September 26th, 2007 • Quantum Group Inc /Fl • Services-management consulting services • Florida
THIS PRIMARY CARE PROVIDER AGREEMENT (the “Agreement”) is entered into this 1st day of _____________________ 20__, (the “Effective Date”) by and between RENAISSANCE HEALTH SYSTEM OF FLORIDA, INC., a Florida corporation (“RHS”), and ________________________________________, (“Primary Care Provider”).
Illinois Department of Healthcare and Family Services Illinois Health Connect Primary Care Provider AgreementPrimary Care Provider Agreement • June 23rd, 2014
This Agreement pertains only to the relationship between the Illinois Department of Healthcare and Family Services (HFS) and the Provider under HFS' Primary Care Case Management (PCCM) and the Maternal and Child Health (MCH) programs. This Agreement does not affect any other relationship or agreement, including the general Provider Agreement, between HFS and the Provider. For purposes of this program and this Agreement, Provider will be called a Primary Care Provider (PCP).
PRIMARY CARE PROVIDER AGREEMENT ANDPrimary Care Provider Agreement • February 21st, 2018
Enrollment in Passport to Health (the program) under this addendum shall be part of the provider’s Montana Healthcare Programs’ enrollment for purposes of governing the provider’s participation in the program. However, this addendum shall not in any way reduce or modify the provider’s Montana Healthcare Programs’ enrollment with respect to participation or provision of services under Medicaid and Healthy Montana Kids Plus (HMK Plus) Programs. The provider(s) hereby agrees to comply with all applicable laws, rules and written policies including but not limited to Title XIX of the Social Security Act, the Code of Federal Regulations (CFR), Montana Codes Annotated (MCA), Administrative Rules of Montana (ARM), written Department of Public Health and Human Services (Department) policies, policies contained in provider manuals, and the terms of this document.
PRIMARY CARE PROVIDER AGREEMENTPrimary Care Provider Agreement • August 12th, 2019 • Texas
THIS PROVIDER AGREEMENT (the "Agreement") is made and entered into this first day [month/year] , between TEACO Provider Network, L.L.C., a Texas LLC (“IPA”), and (“Primary Care Provider,” or “PCP”) having his or her place of business at _ . IPA and Provider shall each be referred to as a "Party," and together as "the Parties".
Illinois Department of Healthcare and Family Services Illinois Health Connect Primary Care Provider AgreementPrimary Care Provider Agreement • June 23rd, 2014
(HFS) and the Provider under HFS' Primary Care Case Management (PCCM) and the Maternal and Child Health (MCH) programs. This Agreement does not affect any other relationship or agreement, including the general Provider Agreement, between HFS and the Provider. For purposes of this program and this Agreement, Provider will be called a Primary Care Provider (PCP).
