Common Contracts

3 similar Uniform Participant Agreement contracts

PENNSYLVANIA EHEALTH PARTNERSHIP PROGRAM UNIFORM PARTICIPANT AGREEMENT v.4b
Uniform Participant Agreement • January 12th, 2023 • Pennsylvania

, (the “Effective Date”) is by and between the Commonwealth of Pennsylvania (“Commonwealth”), through the Department of Human Services (“Department” or “DHS”), and , a located in , with a principal place of business at (“Certified Participant” or “CP”), and all other CP signatories to individual copies of this Agreement, each executed by it and the Department. All Agreement signatories are referred to together as the “Parties.”

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PENNSYLVANIA EHEALTH PARTNERSHIP PROGRAM UNIFORM PARTICIPANT AGREEMENT v.4
Uniform Participant Agreement • October 23rd, 2018 • Pennsylvania

___ _ _ __, _ _ __ _ (the “Effective Date”) is by and between the Commonwealth of Pennsylvania (“Commonwealth”), through the Department of Human Services (“Department” or “DHS”), and __ _ _ ___, a __ __ _ _ _ located in , with a principal

PENNSYLVANIA EHEALTH PARTNERSHIP PROGRAM UNIFORM PARTICIPANT AGREEMENT v.4
Uniform Participant Agreement • October 23rd, 2018 • Pennsylvania

___ _ _ __, _ _ __ _ (the “Effective Date”) is by and between the Commonwealth of Pennsylvania (“Commonwealth”), through the Department of Human Services (“Department” or “DHS”), and __ _ _ ___, a __ __ _ _ _ located in , with a principal

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