Medicaid provider contract templates
Medicaid provider contract templates
- Ancillary Provider Participation Agreement
- DentaQuest Agreement
- Facility Participation Agreement
- FQHC - RHC Participation Agreement
- Home and Community Based Services - Long Term Services and Supports - Provider Participation Agreement
- Managed Care Entity - Group Provider Affiliations - Attachment A
- Managed Care Entity - Services Provided - Attachment C
- March Vision Services Agreement
- Medicaid and CHIP Regulatory Requirements Appendix
- Medical Group Participation Agreement
- Ohio Regulatory Requirements Appendix
- Practitioner Participation Agreement
- Provider Organization Participation Agreement - Opt-In
- Provider Organization Participation Agreement - SS
- Small Medical Group Participation Agreement
- Small Provider Group Agreement
Optum Behavioral Health Medicaid provider contract templates
- Optum Behavioral Health Medicaid Addendum
- Optum Behavioral Health Medicaid Downstream Provider Regulatory Requirements Appendix
- Optum Behavioral Health Ohio Group Agreement
- Optum Behavioral Health Regulatory Requirements Attachment
- Optum Behavioral Health Summary Disclosure