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Department of Human Services

Medicaid Third Party Liability

Announcement:-Requests for Proposals
Number:-710-24-0005
Closing-Date:-02/20/2024 1:00 pm
Posting-Date:-12/22/2023 4:00 pm
Contact:-Arnetia Dean
Contact-Phone:-501-683-5969
Address:-700 Main Street Little Rock, AR 72201

710-24-0005 Solicitation

710-24-0005 Technical Response Packet

710-24-0005 Official Bid Price Sheet

710-24-0005 Attachment A Contract and Grant Disclosure Form

710-24-0005 Attachment B Written Question(s)

710-24-0005 Attachment B Written Questions & Answers

710-24-0005 Attachment C Performance Based Contracting

710-24-0005 Attachment D Terms and Conditions

710-24-0005 Attachment E Pro Forma Service Contract

710-24-0005 Attachment F Business Associate Agreement (BAA)

710-24-0005 Attachment G DHS Organizational or Personal Conflict of Interest Clause

710-24-0005 Attachment H Boycott Certifications

710-24-0005 Attachment I Client History Form

710-24-0005 Attachment I Revised Client History Form

710-24-0005 Addendum 1

710-24-0005 ADDENDUM 2

710-24-0005 ADDENDUM 3

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