Common Contracts
2 similar Payment Agreement contracts
PAYMENT AGREEMENT GUIDEPayment Agreement • May 22nd, 2023
This chart will give you the yearly payment agreement enrollment fee amount your family is required to pay to receive coverage by the Children’s Special Health Care Services (CSHCS) program. If you have questions or need help, please contact a CSHCS representative at your local health department or call 1-800-359-3722.
PAYMENT AGREEMENT GUIDEPayment Agreement • March 2nd, 2023
This chart will give you the yearly payment agreement enrollment fee amount your family is required to pay to receive coverage by the Children’s Special Health Care Services (CSHCS) program. If you have questions or need help, please contact a CSHCS representative at your local health department or call 1-800-359-3722.