BLUE CROSS BLUE SHIELD OF MICHIGAN HOME HEALTH CARE FACILITY TRADITIONAL PARTICIPATION AGREEMENTTraditional Participation Agreement • November 29th, 2017 • Michigan
This Agreement by and between Blue Cross Blue Shield of Michigan (“BCBSM”), a nonprofit health care corporation, and the undersigned Home Health Care Facility (“Provider”), that is located in Michigan and authorized under applicable state law to conduct business, and whose tax name, business name (or DBA) and primary site address are listed on the accompanying Signature Document. Pursuant to this Agreement, BCBSM and Provider agree as follows: