Provider Contract Sample Contracts

STATE
Provider Contract • September 30th, 2019

This contract is between Great Rivers Behavioral Health Organization, LLC (Great Rivers) and the Contractor identified below:

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SCHOOL-BASED MEDICAID PROGRAM AMENDED AND RESTATED PROVIDER CONTRACT
Provider Contract • November 24th, 2023 • Massachusetts

This Contract, effective is hereby amended and restated effective July 1, 2019, and is by and between the Commonwealth of Massachusetts Executive Office of Health and Human Services (hereinafter, “EOHHS”), with a business address of One Ashburton Place, Boston, Massachusetts 02108 and

Contract Amendment No. 4
Provider Contract • August 28th, 2018

This contract is between Great Rivers Behavioral Health Organization (Great Rivers) and the Contractor identified below:

Arts & Science Council (ASC) Suite 250 Charlotte, NC 28202 PH: (704) 335-3058
Provider Contract • July 10th, 2014

This AGREEMENT made this   day of   (month) in the year   between   School of Charlotte-Mecklenburg, N.C. (hereinafter called the “School”) and   Education Provider, (hereinafter called the “Provider”) and Arts & Science Council (hereinafter called “ASC”). The following is mutually agreed upon by the School, the Provider, and ASC.

Provider Contract for Entities
Provider Contract • April 12th, 2024

Provider Contract between the Commonwealth of Massachusetts, acting by and through the Executive Office of Health and Human Services (hereinafter MassHealth), and

Provider Contract for the Lee County Health and Well-Being Initiative Fund
Provider Contract • June 13th, 2024

This Contract is made between Lee County (County) and (Provider) to delineate the terms of their agreement for qualifications and procedures required by the Health and Well-Being Initiative Fund. The Board of County Commissioners has allocated $250,000.00 of funding for the specific contracts with multiple approved Providers, through June 30, 2025. However, these funds are available on a first-come, first-served basis and are not guaranteed to any Provider.

CRITERION AND PROVIDER CONTRACT
Provider Contract • September 21st, 2021

The Sacramento Superior Court has established the following criteria for those providers included on the Resource Lists. The Family Court maintains provider lists as a convenience to court users. The purpose of the criteria is to maintain professional standards among our community providers and to provide seamless access to services by court users.

MassHealth Provider Contract for Individuals
Provider Contract • June 4th, 2024

Provider Contract between the Commonwealth of Massachusetts, acting by and through the Executive Office of Health and Human Services (hereinafter MassHealth), and

Arts & Science Council (ASC) 227 West Trade Street
Provider Contract • August 19th, 2015
Provider Contract Between
Provider Contract • June 15th, 2005

WHEREAS, the Alabama Medicaid Agency (hereinafter referred to as “Medicaid”) and the Alabama Department of Public Health (hereinafter referred to as ADPH), heretofore entered into a provider contract for the Early and Periodic Screening, Diagnosis and Treatment (hereinafter called “EDSDT”) Program;

NEW JOURNEYS)
Provider Contract • January 30th, 2020 • Washington

This contract is between Great Rivers Behavioral Health Administrative Services Organization, LLC, (GRBH-ASO) and the Contractor identified below:

MassHealth Flu Vaccine Program Provider Contract (“Provider Contract”), dated as of
Provider Contract • October 27th, 2006 • Massachusetts

, between the Commonwealth of Massachusetts, acting by and through the Executive Office of Health and Human Services (“EOHHS”), and

AMENDMENT #2
Provider Contract • November 12th, 2020

Cochise County (“County”) and RCHP-Sierra Vista, Inc., d/b/a Sierra Vista Regional Healthcare Center/Canyon Vista Medical Center (“Provider”), an Arizona for profit corporation authorized to do business in Arizona, hereby agree to amend the following:

Great Rivers BHO Provider Contract STATE
Provider Contract • May 16th, 2019

This contract is between Great Rivers Behavioral Health Organization, LLC (Great Rivers) and the Contractor identified below:

Contract
Provider Contract • May 30th, 2018

PROVIDER CONTRACT SMLOUVA SE ZDRAVOTNICKÝM ZAŘÍZENÍM This contract (hereinafter “the Contract”) is Tato smlouva (dále jen „Smlouva“) byla made by and between: uzavřena mezi následujícími stranami: Městská nemocnice Ostrava, Contributory Městská nemocnice Ostrava, příspěvková Organization, having a place of business at organizace, se sídlem Nemocniční 898/20A, Ostrava-Moravská Nemocniční 898/20A, Ostrava-Moravská Ostrava, Postcode 72880, Czech Republic, Ostrava, PSČ 72880, Česká republika IČ: Identification number: 00635162, Tax 00635162, DIČ: CZ00635162. identification number: CZ00635162. Hereinafter the “PROVIDER” dále jen „POSKYTOVATEL“, AND A Quintiles Czech Republic, s.r.o., having a Quintiles Czech Republic, s.r.o., se sídlem place of business at Praha 5, Jinonice, v Praze 5 – Jinonicích, Radlická 714/113a, Radlická 714/113a, zip code 158 00 Prague, PSČ 158 00, Česká republika, IČ: 247 68 651, Czech Republic, Identification number: 247 68 DIČ: CZ24768651, 651, Tax identification

Great Rivers BHO Provider Contract PATH Services and Activities
Provider Contract • February 15th, 2019

This contract is between Great Rivers Behavioral Health Organization (Great Rivers) and the Contractor identified below:

This Contract is hereby entered into on this the 1st day of August, 2021, by and between Child Care Services
Provider Contract • August 18th, 2021 • North Carolina
Contract Amendment No. 9
Provider Contract • May 2nd, 2019

This contract is between Great Rivers Behavioral Health Organization, LLC (Great Rivers) and the Contractor identified below:

Provider Contract for the Lee County Opioid Use Disorder Reduction Initiative
Provider Contract • September 13th, 2024

This Contract is made between Lee County (County) and (Provider) to delineate the terms of their agreement for qualifications and procedures required by the Lee County Opioid Use Disorder Reduction Initiative.

CRITERION AND PROVIDER CONTRACT
Provider Contract • January 10th, 2018

The Sacramento Superior Court has established the following criteria for those providers included on the Resources For Court Ordered Services lists. The Family Court maintains provider lists as a convenience to court users who have been ordered to obtain services. The purpose of the criteria is to maintain professional standards among our community providers and to provide seamless access to services by court users.

Great Rivers Behavioral Health Organization
Provider Contract • September 26th, 2019

This contract is between Great Rivers Behavioral Health Organization (Great Rivers) and the Contractor identified below:

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Contract Amendment No. 5
Provider Contract • August 17th, 2018

This contract is between Great Rivers Behavioral Health Organization (Great Rivers) and the Contractor identified below:

Provider Contract for Indian Health Services (IHS)
Provider Contract • August 15th, 2012 • Massachusetts

Provider Contract between the Commonwealth of Massachusetts, acting by and through the Executive Office of Health and Human Services (hereinafter “MassHealth”), and

State of Oklahoma Department of Corrections
Provider Contract • March 28th, 2018

Licensed Alcohol & Drug Counselors Licensed Behavioral Practitioners Licensed Clinical Social Workers Licensed Dieticians

Contract
Provider Contract • October 30th, 2021

STATE OF FLORIDA STATEWIDE VOLUNTARY PREKINDERGARTEN PROVIDER CONTRACT PRIVATE PROVIDER ATTACHMENT FORM OEL-VPK 20PP

PROVIDER CONTRACT BETWEEN PACE ORGANIZATION OF RHODE ISLAND AND SAMPLE PACE SITE, INC.
Provider Contract • August 23rd, 2020 • Rhode Island

THIS CONTRACT ("Contract"), effective as of the 1st day of December, 2006 ("Effective Date"), is made and entered into by and between PACE ORGANIZATION OF RHODE ISLAND, a Rhode Island non-profit corporation with a principal place of business at 225 Chapman Street, Providence, Rhode Island (“PORI”) and SAMPLE PACE SITE, INC. ("Provider").

Provider Contract for Entities
Provider Contract • October 3rd, 2000 • Massachusetts

Provider Contract between the Commonwealth of Massachusetts, acting by and through the Executive Office of Health and Human Services (hereinafter MassHealth), and

COMMONWEALTH OF MASSACHUSETTS
Provider Contract • August 6th, 2013

Massachusetts Medicaid Program Provider Agreement and Acknowledgement of Terms of Participation for Home- and Community-Based Services Waivers

Contract Amendment No. 1
Provider Contract • July 7th, 2020

Community Integrated Health Services, LLC (CIHS) Contract Start Date: 10/01/2019 PO Box 1447 Contract End Date: 12/31/2020 Chehalis, WA 98532 Amendment Start Date: 06/30/2020 Telephone: 360-261-6930 Contract Number: 20190150 Added Contract Amount: $877,800.00 Total Contract Amount: $2,194,500.00 Program Contact: Todd Broderius Fiscal Contact: Todd Broderius CAS Program Contact: Marc Bollinger CAS Fiscal Contact: Christy White Tax ID Number 35-2669937

EMR Coordinator/School Responsibility Agreement Provider Contract 2022-23
Provider Contract • October 18th, 2022

The Experiencing Marine Reserves (EMR) programme empowers schools and communities by providing hands-on experience in the ocean. Our aim is to provide

Contract Amendment No. 6
Provider Contract • January 24th, 2019

This contract is between Great Rivers Behavioral Health Organization (Great Rivers) and the Contractor identified below:

Contract Amendment No. 1
Provider Contract • January 30th, 2019

This contract is between Great Rivers Behavioral Health Organization (Great Rivers) and the Contractor identified below:

CSC PROVIDER CONTRACT FISCAL YEAR 2022/2023
Provider Contract • August 27th, 2022

This Contract is made and entered into this _1 day of July ,20 22 , by and between the Early Learning Coalition of Palm Beach County (herein referred to as “COALITION”), and City of Greenacres

Contract
Provider Contract • April 27th, 2016
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