Provider Agreement for Medicaid Sample Contracts

PROVIDER AGREEMENT FOR MEDICAID

Provider Agreement for Medicaid • March 30th, 2011 • Utah

• Contract Type
  Provider Agreement for Medicaid
• Filed
  March 30th, 2011
• Jurisdiction
  Utah

This agreement is between the Utah Department of Health, Division of Medicaid and Health Financing, hereafter referred to as DEPARTMENT, and (Provider Name), hereafter referred to as PROVIDER.