CTR061004_Senior_In_Home_Care_LLC_Amendment_3__.pdf
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- Attached to
- Master Agreement AZ|CTR061004
- Contract number
- CTR061004
- Issued by
- Arizona
About this file
This document is a Contract Amendment issued by the Arizona Department of Economic Security (DES), specifically Amendment Number Three to Contract Number CTR061004. The contract involves Senior In Home, doing business as A Country Retreat, an assisted living facility contractor. The amendment is associated with the Department of Developmental Disabilities (DDD) and references the Arizona Health Care Cost Containment System (AHCCCS).
The amendment focuses on modifying Section 19.1 of the DDD Special Terms and Conditions regarding subcontracts. It requires that any subcontract entered into by the contractor must incorporate the original contract and AHCCCS Minimum Subcontract Provisions by reference. The specific requirements for these provisions are outlined in a linked document at https://azahcccs.gov/PlansProviders/HealthPlans/minimumsubcontractprovisions.html. All other contract specifications, requirements, and terms remain unchanged, and the amendment will be executed through electronic approval in an application (APP).
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Text version
CONTRACT AMENDMENT
Arizona Department of Economic Security
1789 W Jefferson Street, Mail Drop 1541, Phoenix, AZ 85007
CONTRACT NUMBER: AMENDMENT NUMBER:
CTR061004 Three (3)
DESCRIPTION/ LABEL: Assisted Living Facility
CONTRACTOR NAME: Senior In Home dba A Country Retreat
THE ABOVE REFERENCED CONTRACT IS HEREBY MODIFIED AS FOLLOWS:
1. In accordance with the Uniform Terms and Conditions, Section 5 Contract Changes, Subsection 5.1 Amendments, the DDD Special Terms and Conditions Section 19.1 Subcontracts is hereby revised as follows:
19.1 Any subcontract that the Contractor enters into shall incorporate by reference this Contract and the AHCCCS Minimum Subcontract Provisions.
19.1.1 The following link constitutes requirements for AHCCCS Minimum Subcontract Provisions:
https://azahcccs.gov/PlansProviders/HealthPlans/minimumsubcontractprovisions.html
ALL OTHER REQUIREMENTS, SPECIFICATIONS, AND TERMS AND CONDITIONS REMAIN UNCHANGED
ACKNOWLEDGEMENT AND AUTHORIZATION
This Amendment shall be fully executed by means of electronic approval in APP.
File details come from the government source that posted it. Updated .