Common Contracts
3 similar null contracts
TELEHEALTH FACILITATION PROVIDER AGREEMENTDecember 28th, 2018
, (Provider) enters into a Provider Agreement with the State of Alaska, Department of Health & Social Services (DHSS) for the purpose of facilitating video teleconference (VTC) sessions for the Division of Senior and Disabilities Services (SDS). The Provider will facilitate initial and annual telehealth assessments for Medicaid Waiver and Personal Care Services (PCS) applicants who live in rural and remote areas in which the local health organization maintains and operates VTC equipment. Providers who maintain and operate VTC equipment in health organizations Statewide are eligible for this Provider Agreement. By entering into this Provider Agreement, the Provider agrees to the following, including all applicable provisions of the following Appendices:
SDS Telehealth Reassessment Site Initiation Provider AgreementMarch 25th, 2016
, (Provider) enters into a Provider Agreement with the State of Alaska, Department of Health & Social Services (DHSS) for the purpose of hosting video teleconference (VTC) calls for the Division of Senior and Disabilities Services (SDS). The Provider will conduct initial and annual assessments for Medicaid Waiver and Personal Care Assistance (PCA) service participants who live in rural remote villages in which the local clinic maintains and operates VTC equipment. Providers who maintain and operate VTC equipment in clinics Statewide are eligible for this Provider Agreement. By entering into this Provider Agreement, the Provider agrees to the following, including all applicable provisions of the following Appendices:
SDS Telehealth Reassessment Site Initiation Provider AgreementNovember 26th, 2013
, (Provider) enters into a Provider Agreement with the State of Alaska, Department of Health & Social Services (DHSS) for the purpose of hosting video teleconference (VTC) calls for the Division of Senior and Disabilities Services to conduct annual reassessments for Medicaid Waiver and Personal Care Assistance service participants who live in rural remote villages in which the local clinic maintains and operates VTC equipment. Providers who maintain and operate telehealth equipment in village clinics within Southeast Fairbanks Census Area, Yukon Koyukuk Census Area, Bethel Census Area, Wade Hampton Census Areas, Nome Census Area, Northwest Arctic Borough are eligible for this Provider Agreement. These six regions, have the highest volume of Medicaid Waiver and Personal Care Assistant (PCA) particpants in villages outside of the regional hub communities and off the road system. By entering into this Provider Agreement, the Provider agrees to the following, including all applicable provi
