Standard Contracts
School District Assurance Agreement Provider Credentialing of Behavioral Sciences StaffProvider Credentialing Agreement • May 24th, 2023
Contract Type FiledMay 24th, 2023The __________ County school district agrees and maintains the necessary documentation that Florida Medicaid credentialing requirements for behavioral services staff are met prior to billing, as follows:
School District Assurance Agreement Provider Credentialing of Psychologists, Behavior Analysts, and Social WorkersProvider Credentialing Agreement • September 25th, 2021
Contract Type FiledSeptember 25th, 2021The__________County school district agrees that Florida Medicaid reimbursable services will be billed only for those employed or contracted staff rendering health-related services who meet Florida Medicaid credentialing requirements. All services billed to Florida Medicaid must be within the validity period on the individual’s license and/or certification.
County Health Department Agreement Provider Credentialing of Behavioral Health Providers and Social WorkersProvider Credentialing Agreement • September 8th, 2021
Contract Type FiledSeptember 8th, 2021The ________________county health department (CHD) agrees that Florida Medicaid will cover services rendered to recipients by employees or contracted staff who meet Florida Medicaid credentialing requirements, as follows:
School District Assurance Agreement Provider Credentialing of Therapists and Therapy AssistantsProvider Credentialing Agreement • November 28th, 2021
Contract Type FiledNovember 28th, 2021The _________ County school district agrees that Florida Medicaid reimbursable services will be billed only for employed or contracted staff rendering health-related services who meet Florida Medicaid credentialing requirements. All services billed to Florida Medicaid must be within the validity period on the individual’s license or certification.
School District Assurance Agreement Provider Credentialing of School Health AidesProvider Credentialing Agreement • November 5th, 2021
Contract Type FiledNovember 5th, 2021The __________ County school district agrees and maintains the necessary documentation to validate that Florida Medicaid credentialing requirements for school health aides are met as follows: