Developmental Home Agreement Sample Contracts

Developmental Home Third Party Agreement ARIZONA DEPARTMENT OF ECONOMIC SECURITY DIVISION OF DEVELOPMENTAL DISABILITES
Developmental 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.

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ADULT DEVELOPMENTAL HOME AGREEMENT
Developmental Home Agreement • July 3rd, 2023

The Adult Developmental Home Model is a joint endeavor between the Department of Economic Security (Department), Division of Developmental Disabilities (Division) and the Licensed Adult Developmental Home Provider. The license issued by the Division indicates that the Licensee complies with the licensing rules and requirements. The issuance of a license, however does not obligate the Department/Division to make placements in the Licensee’s home. Placement decisions are separate from licensing decisions and must be based on the specific needs of the adult member and the ability of the specific home to meet those needs.

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