Common Contracts
1 similar Network Partner Agreement contracts
Network Partner Agreement To : ______________________________Network Partner Agreement • March 9th, 2018
This is to confirm that _________________________ (name of network partner/organization), located at _____________________________________________________________________ (address of network partner/ organization), has agreed to be a provider in the network of Prime Care Coordination LLC. As a member of the network, __________________________ (name of network partner/organization) will receive referrals and provide services (e.g., behavioral health, physical health, social and community supports, specialty children’s services, developmental disability services, and other long term supports and services) and collaborate and support the work of the CCO/HH care managers who will develop Life Plans for individuals with intellectual and/or developmental disabilities who will be enrolled in and receive Health Home care management through Prime Care Coordination LLC.
