The Ohio Department Sample Contracts

THE OHIO DEPARTMENT OF MEDICAID MYCARE OHIO PROVIDER AGREEMENT FOR MYCARE OHIO PLAN
The Ohio Department • June 17th, 2015 • Ohio

This Provider Agreement (herein Provider Agreement or Agreement) is entered into between the State of Ohio, The Ohio Department of Medicaid, (hereinafter referred to as ODM) whose principal offices are located in the City of Columbus, County of Franklin, State of Ohio, and INSERT CORPORATE NAME, MyCare Ohio Plan (hereinafter referred to as MCOP), an Ohio corporation, whose principal office is located in the city of INSERT CITY, County of INSERT COUNTY, State of Ohio.

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THE OHIO DEPARTMENT OF MEDICAID MYCARE OHIO PROVIDER AGREEMENT FOR MYCARE OHIO PLAN
The Ohio Department • September 6th, 2017

This Provider Agreement (hereinafter Provider Agreement or Agreement) is entered into between the State of Ohio, The Ohio Department of Medicaid, (hereinafter referred to as ODM) whose principal offices are located in the City of Columbus, County of Franklin, State of Ohio, and INSERT CORPORATE NAME, MyCare Ohio Plan (hereinafter referred to as MCOP), an Ohio corporation, whose principal office is located in the city of INSERT CITY, County of INSERT COUNTY, State of Ohio.

Sample 1
THE OHIO DEPARTMENT OF MEDICAID MYCARE OHIO PROVIDER AGREEMENT FOR MYCARE OHIO PLAN
The Ohio Department • June 16th, 2016

This Provider Agreement (herein Provider Agreement or Agreement) is entered into between the State of Ohio, The Ohio Department of Medicaid, (hereinafter referred to as ODM) whose principal offices are located in the City of Columbus, County of Franklin, State of Ohio, and INSERT CORPORATE NAME, MyCare Ohio Plan (hereinafter referred to as MCOP), an Ohio corporation, whose principal office is located in the city of INSERT CITY, County of INSERT COUNTY, State of Ohio.

Sample 1
THE OHIO DEPARTMENT OF MEDICAID MYCARE OHIO PROVIDER AGREEMENT FOR MYCARE OHIO PLAN
The Ohio Department • June 27th, 2017

This Provider Agreement (hereinafter Provider Agreement or Agreement) is entered into between the State of Ohio, The Ohio Department of Medicaid, (hereinafter referred to as ODM) whose principal offices are located in the City of Columbus, County of Franklin, State of Ohio, and INSERT CORPORATE NAME, MyCare Ohio Plan (hereinafter referred to as MCOP), an Ohio corporation, whose principal office is located in the city of INSERT CITY, County of INSERT COUNTY, State of Ohio.

Sample 1
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