ORGANIZATIONAL PROVIDER AGREEMENT FOR FOSTER CHILDREN PLACED OUT OF COUNTYOrganizational Provider Agreement • April 14th, 2022
This Contract is entered into on __________________ “Contract Date” between the Mental Health Plan of _____________ hereinafter referred to as MHP and ______________________, hereinafter referred to as “Contractor” for access to Medi-Cal Specialty Mental Health Services for Foster Children placed out-of-county. Contractor is located in the County of ________________ and is certified by an MHP to provide Medi-Cal services, as evidenced by the attached Certification.
ORGANIZATIONAL PROVIDER AGREEMENT WITHOrganizational Provider Agreement • April 11th, 2024
This Contract is entered into on October 1, 2023 “Contract Date” between the Mental Health Plan of Merced County (hereinafter referred to as “MHP”) and Aspiranet dba Aspira Foster and Family Services(hereinafter referred to as “Contractor”) for access to Medi-Cal Specialty Mental Health Services for Youth Beneficiaries of Merced County. Contractor is located in the County of Merced, and is certified by an MHP to provide Medi-Cal services, as evidenced by the attached Certification.
