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STATE OF VERMONT CONTRACT SUMMARY AND CERTIFICATION Form AA14 (1/8/2019) Note: All sections must be completed. Incomplete forms will be returned to the originating department. I. CONTRACT INFORMATION:

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What is gmcboardvermontgovsitesgmcbstate of vermont contract?

The gmcboardvermontgovsitesgmcbstate of vermont contract is an agreement between the Green Mountain Care Board of Vermont and a party to provide healthcare services.

Who is required to file gmcboardvermontgovsitesgmcbstate of vermont contract?

Healthcare providers and organizations that have a contractual relationship with the Green Mountain Care Board of Vermont are required to file the contract.

How to fill out gmcboardvermontgovsitesgmcbstate of vermont contract?

The gmcboardvermontgovsitesgmcbstate of vermont contract can be filled out online on the official website of the Green Mountain Care Board of Vermont.

What is the purpose of gmcboardvermontgovsitesgmcbstate of vermont contract?

The purpose of the gmcboardvermontgovsitesgmcbstate of vermont contract is to ensure that healthcare providers comply with the regulations set forth by the Green Mountain Care Board of Vermont.

What information must be reported on gmcboardvermontgovsitesgmcbstate of vermont contract?

The gmcboardvermontgovsitesgmcbstate of vermont contract requires information such as the terms of the agreement, the services provided, and the payment terms.

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