Common Contracts

STATE OF COLORADO INTERAGENCY AGREEMENT SHORT FORM

April 27th, 2021

• Filed
  April 27th, 2021

Paying State AgencyDepartment of Health Care Policy and Financing (HCPF) Agreement NumbersC22-168594 Performing State AgencyDepartment of Public Health and Environment Agreement Performance Beginning DateJuly 1, 2021 Agreement Maximum Amount Agreement Expiration DateJune 30, 2022 TermsPayment is due 30 days upon receipt of a valid invoice. Disputes are governed by Fiscal Rule 3-5, Section 4.2. Agencies shall report any outstanding balance on Exhibit AR_AP at Fiscal Year end. Agreement Purpose and Obligations of the PartiesInteragency Agreement that allows for DPHE to administer various health programs, health systems and health care services. Exhibits and AttachmentsThe following Exhibit(s) and/or Attachment(s) are included with this Agreement:1. Exhibit A – Statement of Work and Budget or Order Form. Principal Representatives For the Performing State Agency: For the Paying State Agency: Amy Scangarella Amy.scangarella@state.co.us Angel Mendoza Angel.mendoza@state.co.us