Common Contracts

Delta Dental of Washington Participating Provider Agreement Delta Dental Medicaid

Participating Provider Agreement • May 16th, 2018 • Washington

• Contract Type
  Participating Provider Agreement
• Filed
  May 16th, 2018
• Jurisdiction
  Washington

This Participating Provider Agreement (“Participating Provider Agreement”) is entered into by and between the undersigned provider of dental services (“Participating Provider”), and Delta Dental of Washington, a Washington nonprofit corporation (“DDWA”), and is effective when fully executed by both parties. This Agreement governs services to be delivered by Participating Providers to persons covered by the State of Washington Apple Health Dental Program (“Apple Health”) and enrolled in a managed dental care plan offered by a Contractor, as defined herein that has contracted with DDWA to obtain the services of DDWA’s Participating Providers.