Common Contracts
1 similar Enrollment Application and Agreement contracts
Personal Support Worker Provider Enrollment Application and AgreementEnrollment Application and Agreement • April 23rd, 2021
This Provider Enrollment Application and Agreement “Agreement”, sets forth the conditions and agreements for being enrolled as a provider with the State of Oregon Department of Human Services (DHS), Office of Developmental Disabilities Services (ODDS) and to receive a provider number in order to receive payment for services furnished by the provider to approved service recipients in Oregon. Payments for services are made using federal Medicaid and state funds.
