Masshealth Special Program Provider Contract Sample Contracts

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Masshealth Special Program Provider Contract • November 25th, 2019 • Massachusetts

• Contract Type
  Masshealth Special Program Provider Contract
• Filed
  November 25th, 2019
• Jurisdiction
  Massachusetts

This MassHealth Special Program Provider Contract (the “Contract”) dated as of , is by and between the Commonwealth of Massachusetts Executive Office of Health and Human Services (hereinafter, the “Executive Office”), with a business address of One Ashburton Place, Boston, Massachusetts 02108 and (Legal Name of Provider, hereinafter the “Provider”) with a principal place of business located at doing business as (DBA Name of Provider)