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AGREEMENT BETWEEN THE IHS GREAT PLAINS AREA AND [NAME OF PROVIDER] TO ENTER INTO A CARE COORDINATION ARRANGEMENT AS DESCRIBED IN the Center for Medicaid and CHIP Services State Health Official Letter
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Review the agreement template to understand its contents and requirements.
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Fill in the blank fields with the relevant information, such as names, dates, and terms.
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Ensure all parties involved in the agreement sign and date the document.
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Keep a copy of the completed agreement for your records.

Who needs agreement between form great?

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Business partners entering into a formal agreement.
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Individuals entering into a contract for services or products.
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Organizations forming a partnership or collaboration.

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Agreement between form great is a legal document outlining the terms and conditions agreed upon by two or more parties.
Any party involved in the agreement is required to file agreement between form great.
You can fill out agreement between form great by providing all the required information accurately and signing the document.
The purpose of agreement between form great is to establish the rights and obligations of the parties involved.
The agreement must include details such as names of parties, terms of agreement, signatures, and date.
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