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Get Advantage Program Cd-pass Individual Provider ... - Advantage Ok
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How to fill out the ADVANTAGE PROGRAM CD-PASS INDIVIDUAL PROVIDER Agreement online
This guide provides clear, step-by-step instructions on how to fill out the ADVANTAGE PROGRAM CD-PASS INDIVIDUAL PROVIDER Agreement. By following this guide, users can ensure that they complete the form accurately and efficiently.
Follow the steps to successfully fill out the agreement.
- Press the ‘Get Form’ button to access the form and open it in the desired editor.
- Begin by entering the Provider’s Name in the designated field, as this will identify who is entering into the agreement.
- In Article I, provide the purpose of the agreement, stating the intention to contract for Consumer Directed Personal Assistance Services and Support for eligible SoonerCare members.
- In Article II, section 2.2, confirm eligibility requirements for the Provider, ensuring to document the age, identification, work history, competence, and legal standing.
- Fill in the mailing address for both the Oklahoma Health Care Authority and the Provider in section 2.3 to ensure proper correspondence.
- Continue to Article III, entering the effective date of the agreement and ensuring compliance with all necessary conditions for agreement validity.
- In Article IV, outline the scope of work and detail the specific CD-PASS services that will be provided to employers, also affirming compliance with applicable regulations.
- In Article VI, be prepared to maintain necessary records that support the provision of services, as compliance is crucial.
- In Article VII, acknowledge the confidentiality of SoonerCare member information and ensure non-disclosure unless permitted.
- Finalize the document by signing the Provider’s signature field and adding the date. Ensure all required information and documents are attached before submission.
- After completing the form, save your changes, and choose to download, print, or share the agreement as needed.
Complete your ADVANTAGE PROGRAM CD-PASS INDIVIDUAL PROVIDER Agreement online today!
The CD-Pass ADvantage in Oklahoma combines the benefits of the CD-Pass program with the overarching support of the ADvantage program. This integration empowers individuals to select and manage their care providers, enhancing their overall experience. With the CD-Pass ADvantage, participants receive personalized assistance that aligns with their specific requirements, ensuring they remain in control of their care journey.
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