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HOME HEALTH AGENCY AGREEMENT Based upon the following recitals, the Oklahoma Health Care Authority (hereinafter referred to as HCA) and the (hereinafter referred to (Print Provider Name) as PROVIDER)
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A home health agency agreement is a legal contract between a home health agency and the individual or entity receiving home health services. It outlines the terms and conditions of the services being provided, including the responsibilities of both parties and the rights of the patient.
The home health agency is required to file the home health agency agreement. It is their responsibility to ensure that the agreement is accurately completed and submitted to the relevant authorities.
The home health agency agreement can be filled out by providing all the necessary information requested in the agreement form. This may include details about the patient, the services to be provided, any special requirements or conditions, and the signature of both parties involved.
The purpose of the home health agency agreement is to establish a clear understanding and agreement between the home health agency and the patient or their representative. It ensures that both parties are aware of their rights and responsibilities, and helps to avoid misunderstandings or disputes.
The home health agency agreement should include information such as the name and contact details of the patient, a detailed description of the services to be provided, the duration of the agreement, any payment arrangements, and any special conditions or requirements.
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