Common Contracts
1 similar Agreement contracts
PARTICIPATING PROVIDER AGREEMENTAgreement • July 7th, 2023
I, the undersigned (hereinafter referred to as "Provider" or "Contractor"), in consideration of being registered by the Pennsylvania Department of Health, Head Injury Program (hereinafter referred to as “Department” or “HIP”), as a participating provider, do hereby agree to be legally bound as follows: I offer to and shall provide special health services (as listed in Appendix C) for the Department to HIP-eligible individuals in accordance with the restrictions indicated in this Agreement and on the individual’s HIP funding approval letter, and shall make reports to the Department concerning such services, and shall accept compensation therefore in accordance with reimbursement policies and rates established in Appendix C by the Department and with the terms and conditions incorporated in and made a part of this Agreement. This Agreement is effective as of and is made pursuant to 35 P.S. 6934 (e), and shall continue in effect, unless otherwise terminated according to the terms and cond
