Standard Contract Language and Forms

Current versions of incorporated language are listed here.  Previous versions, incorporated into prior agreements may be viewed in the Archived Language section. 

Current Exhibits Incorporated by Reference

TS-08/26/11 -Exhibit A-Attachment 1-Telemedicine Services. This language is effective as of 08/26/11.

BDPP-07/12/11– Exhibit B – Budget Detail and Payment Provisions.  This language is effective on 07/12/11. 

STC&AP -07/12/11 - Exhibit  D - Special Terms and Conditions & Additional Provisions.  This language is effective on 07/12/11.

DEF-07/08/11. -Exhibit F-Definitions. This language is effective 07/08/11.

HIPAA-07/08/11 -Exhibit G-Business Associates Agreement (HIPAA). This language is effective 07/08/11.

LPI-07/12/11 - Exhibit H - List of Participating Institutions.  This language is effective on 07/12/11.

CSIM-07/12/11 - Exhibit J - California State Institution Map.  This language is effective on 07/12/11.

View previous contract exhibit language.

Current Forms

975 Hour Provider Service Report - This language is effective on 04/25/2011.