Common Contracts
1 similar Developmental Home Agreement contracts
Developmental Home Third Party Agreement ARIZONA DEPARTMENT OF ECONOMIC SECURITY DIVISION OF DEVELOPMENTAL DISABILITESDevelopmental Home Agreement • October 4th, 2010
This Agreement is between the Arizona Department of Economic Security (DES or Department), Division of Developmental Disabilities (DDD or Division), the Qualified Vendor and the licensed Developmental Home Provider(s). This Agreement is effective the last date of signature and shall terminate upon termination of the Qualified Vendor Agreement, or as amended by mutual agreement of all parties, or on termination of the Developmental Home Provider License. This Agreement covers only Habilitation and Room and Board. This Agreement when executed provides the basis for Provider Indemnity Pool (PIP) coverage.
