Type : Contract
CSA Provider Agreements See Contract file multiple Various 06/30/2024 3.0 AJ
CSA Provider Agreements See Contract file multiple Various 06/30/2024 3.0 AJ
The Department of Health (DOH) Division of Behavioral Health (DBH) seeks eligible applicants to provide behavioral health crisis services to individuals (all ages) that are uninsured and/or ineligible for Medicaid through the Safety Net Provider Agreement program.
All signed provider agreements and documentation demonstrating provider eligibility should be sent to: doh.fms.grants.provider.agreements@alaska.gov. For questions or further information, please contact: Diane LoRusso, Grants Administrator Grants and Contracts Department of Health P.O.
Contract Description: CSA Provider Agreements Contract Number: 01-19ckc / 04-20ckc Contractor Name: Various (90) Expiration: 06/30/2020
CSA Provider Agreements See Contract file multiple Various 06/30/2023 3.0 AJ
Privacy and Security Procedures for Providers D. Resolution for Alaska Natives Entities E. SOA DHSS HIPAA Business Associates Agreement
Contract Description: CSA Provider Agreements Contract Number: 01-19ckc / 04-20ckc / 01-21ckc Contractor Name: Various (95) Expiration: 06/30/2022