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MCO Amendment 2 Attachment A2 Changes to Attachment A, Model Contract Interchange FromChange ToJustification1 LIST OF CONTRACT ATTACHMENTS Attachment E: APM Strategic Plan Requirements and Reporting

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How to fill out attachment g-sample contract-healthy families

01

Obtain a copy of attachment g-sample contract-healthy families.

02

Review the contract and familiarize yourself with its contents.

03

Fill in your personal information where required, such as name, address, and contact details.

04

Agree to the terms and conditions outlined in the contract by signing and dating it.

05

Keep a copy of the completed contract for your records.

Who needs attachment g-sample contract-healthy families?

01

Anyone who is participating in the Healthy Families program and is required to sign a contract as part of their enrollment process.

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What is attachment g-sample contract-healthy families?

Attachment g-sample contract-healthy families is a document that outlines the terms and conditions of a contract between a provider and the Healthy Families program.

Who is required to file attachment g-sample contract-healthy families?

Providers who are participating in the Healthy Families program are required to file attachment g-sample contract-healthy families.

How to fill out attachment g-sample contract-healthy families?

Attachment g-sample contract-healthy families can be filled out by entering the required information such as provider details, services offered, and terms of the contract.

What is the purpose of attachment g-sample contract-healthy families?

The purpose of attachment g-sample contract-healthy families is to establish a formal agreement between the provider and the Healthy Families program, ensuring that both parties understand their roles and responsibilities.

What information must be reported on attachment g-sample contract-healthy families?

Information such as provider name, contact information, services provided, payment terms, and contract duration must be reported on attachment g-sample contract-healthy families.

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