CENTRAL OUTREACH WELLNESS CENTER LLC at Pennsylvania Department of Health

Effective: Mar 1, 2023

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This Participating Provider Agreement (PPA) between the Commonwealth of Pennsylvania, Department of Health, and Central Outreach Resource and Referral Center, effective March 1, 2023, to February 28, 2028, establishes a fee-for-service arrangement for the provision of STD Clinical Services, PrEP Services, and HIV/STD Testing in Non-clinical Settings. The contract details service requirements, performance standards, confidentiality, and a monthly reimbursement structure based on a defined fee schedule for services rendered to eligible individuals.

Effective: Jan 1, 2023

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This Participating Provider Agreement (PPA) between the Commonwealth of Pennsylvania Department of Health and Counseling and Wellness Center of Pittsburgh LLC establishes terms for providing fee-for-service grief counseling under the Pennsylvania Grief Counseling Program. The agreement is effective from January 1, 2023, to January 1, 2028. The provider will offer up to eight counseling sessions per eligible donor family, with a maximum reimbursement rate of $105.00 per session. The Department acts as the payer of last resort, covering sessions for uninsured participants or co-pays for insured participants. The contract outlines service limitations, provider qualifications, reporting requirements, and payment provisions.

Effective: Aug 1, 2022

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This Participating Provider Agreement (PPA) is between the Commonwealth of Pennsylvania Department of Health and Counseling and Wellness Center of Pittsburgh, LLC. Effective from August 1, 2022, to August 30, 2027, it establishes terms for the provider to offer fee-for-service grief counseling to eligible family members of deceased organ/tissue donors under the Pennsylvania Grief Counseling Program. The agreement specifies a maximum of eight counseling sessions per donor family, with a reimbursement rate of $105.00 per session, and outlines provider qualifications, responsibilities, payment procedures, and liability disclaimers. Standard General Terms and Conditions and a HIPAA Business Associate Agreement are incorporated by reference.

Effective: Feb 1, 2023

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This Participating Provider Agreement (PPA No. 22063) between the Commonwealth of Pennsylvania Department of Health, Chronic Renal Disease Program (CRDP), and CENTRAL KITTANNING DIALYSIS CENTER LLC, effective from February 1, 2023, to January 31, 2028, outlines the provision of special health services, primarily dialysis-related, to CRDP-eligible individuals. The agreement details service requirements, provider standards, and payment mechanisms based on a CRDP Fee Schedule and authorized patient charges, with CRDP serving as the payer of last resort. It also includes provisions for invoicing, monitoring, and termination.