Medicaid Home and Community-Based Waivers Manual - Appendix P

APPENDIX P: Provider Issues

P-1 Provider Agreement and Acknowledgement of Terms of Participation Agreement for Service Provider Entities (Word)
P-2 Provider Agreement and Acknowledgement of Terms of Participation Agreement for Agencies or Individuals - Self-Directed Supports (Word)
P-3 Provider Agreement and Acknowledgement of Terms of Participation Agreement for Individual or Non-Specified Service Providers (Word)
P-4 Medicaid Waiver Provider Online Registration Specifications (PDF) SAMPLE - FOR PREVIEWING ONLY
P-5 Medicaid Waiver Provider Registration
Last Revised: May 11, 2017