GROUP PARTICIPATING PROVIDER AGREEMENTUnited Behavioral Health • September 12th, 2022
Contract Type FiledSeptember 12th, 2022THIS AGREEMENT is between United Behavioral Health ("UBH") and the undersigned group provider (hereinafter referred to as the "Provider"). This Agreement will become effective upon the date set forth on the signature page of this Agreement or the date of first credentialed Group-based Provider whichever is later (the "Effective Date"). This Agreement sets forth the terms and conditions under which Provider shall participate in one or more networks developed by UBH as a Participating Provider of Covered Services to Members.
FACILITY PARTICIPATING PROVIDER AGREEMENTUnited Behavioral Health • June 20th, 2019
Contract Type FiledJune 20th, 2019THIS AGREEMENT is between United Behavioral Health ("UBH") and the undersigned facility provider (hereinafter referred to as the "Provider"). This Agreement will become effective upon the date set forth in UBH’s executed Acceptance Letter (the "Effective Date"). This Agreement sets forth the terms and conditions under which Provider shall participate in one or more networks developed by UBH as a Participating Provider of Covered Services to Members.