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PROVIDER AGENCY/VENDOR/CONTRACTOR AGREEMENT
Between Redirection Member/Participant/Employer of Record (FOR) and ProviderSelfDirection Medicaid Waiver
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The self-direction between member, participant, and employer is the process of allowing individuals to have more control over their services and supports.
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Information such as the roles and responsibilities of each party, services provided, and payment arrangements must be reported on the self-direction form.
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