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DENTAL PROVIDER AGREEMENT THIS DENTAL PROVIDER AGREEMENT (Agreement) is made and entered into this day of, 20 (Effective Date), by and between (Provider) and Managed Care of North America, Inc., d/b/a/
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What is ky provider contract?
The KY provider contract is a legal agreement between a healthcare provider and the Kentucky Department of Medicaid Services that outlines the terms and conditions for providing services to Medicaid beneficiaries in Kentucky.
Who is required to file ky provider contract?
All healthcare providers who wish to provide services to Medicaid beneficiaries in Kentucky are required to file the KY provider contract.
How to fill out ky provider contract?
The KY provider contract can be filled out electronically through the Kentucky Medicaid portal. Providers need to provide accurate information about their practice, services offered, and agree to the terms and conditions outlined in the contract.
What is the purpose of ky provider contract?
The purpose of the KY provider contract is to establish a formal relationship between healthcare providers and the Kentucky Department of Medicaid Services. It ensures that providers adhere to Medicaid program policies and guidelines while delivering services to Medicaid beneficiaries.
What information must be reported on ky provider contract?
The KY provider contract requires providers to report information such as their practice details, services offered, billing procedures, compliance with Medicaid regulations, and agreement to follow the Medicaid fee schedule.
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