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DocuSign Envelope ID: F128F9DA11DA4612B0A201F0AEF689A3HEALTH AND HUMAN SERVICES COMMISSION CONTRACT NO. 2016049446001A AMENDMENT NO. 1 The Health and Human Services Commission (HHSC or System Agency)
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How to fill out uniform managed care contract

01
Review the terms and conditions outlined in the contract.
02
Fill out the contractor information section with accurate details.
03
Indicate the services that will be provided as part of the managed care agreement.
04
Specify the payment terms and rates for the services rendered.
05
Include any additional clauses or provisions that are relevant to the agreement.
06
Have all parties involved sign and date the contract to make it legally binding.

Who needs uniform managed care contract?

01
Healthcare providers who are entering into agreements with managed care organizations.
02
Insurance companies looking to establish a network of healthcare providers under a uniform contract.
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A uniform managed care contract is a standardized contract that outlines the terms and conditions of a managed care agreement between a healthcare provider and a managed care organization.
Healthcare providers who participate in managed care programs are required to file a uniform managed care contract.
Healthcare providers can fill out a uniform managed care contract by entering the required information, signing the agreement, and submitting it to the managed care organization.
The purpose of a uniform managed care contract is to establish a clear understanding of the rights and responsibilities of both the healthcare provider and the managed care organization.
The uniform managed care contract must include information such as the services provided, payment terms, dispute resolution procedures, and termination clauses.
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