Common use of MODEL AGREEMENT Clause in Contracts

MODEL AGREEMENT. This agreement to participate in the Center for Medicare and Medicaid Innovation-funded (CMMI) Maternal Opioid Misuse Grant (MOM Grant), contingent upon continued funding by CMMI, is made this day of , 2020, between the Maryland Department of Health (Department) and , a Managed Care Organization (MCO). MCO Legal Name: MCO Tax Identification Number: MCO National Provider Identification Number:

MODEL AGREEMENT. This agreement to participate in the Center for Medicare and Medicaid Innovation-funded (CMMI) Maternal Opioid Misuse Grant (MOM Grant)) model, contingent upon continued funding by CMMI, is made this day of , 20202022, between the Maryland Department of Health (Department) and , a Managed Care Organization (MCO). The Department and the MCO Legal Name: MCO Tax Identification Number: MCO National Provider Identification Numberagree as follows:

MODEL AGREEMENT. This agreement to participate in the Center for Medicare and Medicaid Innovation-funded (CMMI) Maternal Opioid Misuse Grant (MOM Grant), contingent upon continued funding by CMMI, is made this day of , 20202021, between the Maryland Department of Health (Department) and , a Managed Care Organization (MCO). The Department and the MCO Legal Name: MCO Tax Identification Number: MCO National Provider Identification Numberagree as follows: