New Hampshire Application Service Provider Agreement

State:
Multi-State
Control #:
US-CP1027-AM
Format:
Word; 
Rich Text
Instant download

Description

This sample form, a detailed Application Service Provider Agreement document, is for use in the computer, internet and/or software industries. Adapt to fit your circumstances. Available in Word format.

The New Hampshire Application Service Provider Agreement is a legal document that outlines the terms and conditions between a service provider and a client in the state of New Hampshire. This agreement governs the provision of software applications and services by the provider to the client. Under this agreement, the service provider is responsible for delivering and maintaining software applications to the client. The client, in turn, agrees to comply with the terms and conditions set forth by the provider. The purpose of this agreement is to establish a mutually beneficial relationship between the parties involved. Regarding the different types of New Hampshire Application Service Provider Agreements, there can be variations based on the specific services being provided or the industry involved. Some common types may include: 1. Software-as-a-Service (SaaS) Agreements: These agreements involve the provision of software applications over the internet. The service provider hosts and maintains the software, and the client accesses and uses it remotely. 2. Platform-as-a-Service (PaaS) Agreements: These agreements provide a platform allowing clients to develop, run, and manage their own applications, utilizing the provider's infrastructure and tools. 3. Infrastructure-as-a-Service (IaaS) Agreements: In this type of agreement, the service provider offers a virtualized computing infrastructure, including servers, storage, and networking resources, on which the client can deploy and run their applications. 4. Managed Service Provider (MAP) Agreements: These agreements involve the service provider managing and supporting the client's IT infrastructure, including software applications, hardware, and network resources, on an ongoing basis. 5. Custom Application Service Provider Agreements: These agreements are tailored to meet specific requirements of the client, typically involving the development, customization, and ongoing support of a unique software application. When drafting or reviewing a New Hampshire Application Service Provider Agreement, it is crucial to include relevant clauses such as payment terms, intellectual property rights, data security, confidentiality, service level agreements, termination, and dispute resolution. Adhering to these contractual terms ensures a clear understanding of the obligations and responsibilities of both parties, mitigating future conflicts and promoting a successful business relationship.

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As a member, you do not have to pay for medically necessary covered services you get from a New Hampshire Medicaid provider. If you get a bill or statement, call AmeriHealth Caritas New Hampshire Member Services, 24 hours a day, seven days a week, at 1-833-704-1177 (TTY 1-855-534-6730).

We are AmeriHealth Caritas New Hampshire, a mission-driven Medicaid managed care organization. Through dedicated providers like you, we serve New Hampshire Medicaid members in the Medicaid Care Management (MCM) program. Working with you, we aim to deliver excellent care and improved health outcomes to our members.

Who is eligible for New Hampshire Medicaid? Household Size*Maximum Income Level (Per Year)1$19,3922$26,2283$33,0644$39,9004 more rows

Economic Benefits Since Medicaid Expansion was first implemented in New Hampshire from August 2014 until June 2022, the program has brought nearly $3.23 billion in federal funds to New Hampshire, supporting the health of Granite Staters and the economy.

NH Medicaid Provider Enrollment To enroll as a NH Medicaid provider, visit the New Hampshire MMIS Health Enterprise Portal and click on Provider in the upper left of the page.

NH Medicaid (Medical Assistance) is a federal and state funded health care program that serves a wide range of individuals and families who meet certain eligibility requirements.

For a Change in Ownership, certified health facilities need to complete the CMS 855 A form. Completed forms need to be sent to your fiscal intermediary for processing.

Non-participating providers must submit Prior Authorization for all services. For non-participating providers, Join Our Network. Urine Drug Screens rendered by MAT (Medication Assisted Treatment) providers require notification only. Prior auth is not required.

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New Hampshire Application Service Provider Agreement