Common Contracts
1 similar Agency Agreement contracts
DMHA Electronic Billing System – Designated Agency AgreementAgency Agreement • September 24th, 2020 • Indiana
This agreement is entered into by Family and Social Services Administration, Division of Mental Health and Addiction, and --- (Agency), under the terms and conditions set forth below. This agreement authorizes the Agency to operate as a DMHA Electronic Billing System (DEBS) Provider. In consideration for this Agreement, the parties agree as follows:
