Arkansas Application Service Provider Agreement

State:
Multi-State
Control #:
US-CP1027-AM
Format:
Word; 
Rich Text
Instant download

Description

This sample form, a detailed Application Service Provider Agreement document, is for use in the computer, internet and/or software industries. Adapt to fit your circumstances. Available in Word format.

Arkansas Application Service Provider Agreement is a contract entered into between an application service provider (ASP) and a client based in Arkansas. This agreement outlines the terms and conditions governing the delivery, maintenance, and usage of software applications provided by the ASP. It ensures that both parties involved have a clear understanding of their rights, responsibilities, and obligations during the agreement's duration. Keywords: Arkansas, Application Service Provider Agreement, contract, application service provider, client, software applications, delivery, maintenance, usage, rights, responsibilities, obligations. There are various types of Arkansas Application Service Provider Agreements, depending on the specific nature and requirements of the services being provided. Some common types of ASP agreements found in Arkansas include: 1. Software as a Service (SaaS) Agreement: This type of agreement outlines the terms for providing access to and use of software applications hosted remotely by the provider. The software is typically accessed by the client through the internet or a network connection. 2. Platform as a Service (PaaS) Agreement: In this agreement, the ASP provides a platform for the client to develop, deploy, and manage their own applications. The provider typically takes care of infrastructure, and the client focuses on application development. 3. Infrastructure as a Service (IaaS) Agreement: This type of agreement involves providing virtualized computing resources, such as servers and storage, to the client. The ASP takes care of maintaining the infrastructure, while the client has control over the operating systems, applications, and networking. 4. Managed Hosting Agreement: This agreement focuses on providing hosting services for the client's applications or websites. The ASP takes care of server administration, maintenance, and security, while the client focuses on their application or website content. 5. Service Level Agreement (SLA): A service level agreement is often included within an Arkansas Application Service Provider Agreement to define the expected performance and availability guarantees provided by the ASP. It outlines metrics, such as uptime, response time, and support availability, along with agreed-upon penalties or remedies for service level breaches. It is important for both the ASP and client to carefully review and understand the terms of the specific Arkansas Application Service Provider Agreement they are entering into, ensuring that it adequately addresses their respective needs and expectations.

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FAQ

Update your information with AR Medicaid You can update your information on the phone, online, or in person: Call the Renew Arkansas hotline at 1-844-872-2660. Go online at access.arkansas.gov. Visit your local DHS county office to update your information.

If you have questions about how to enroll, call Arkansas Medicaid Provider Enrollment at 501-376-2211 or 1-800-457-4454 toll-free.

Other Important Numbers Arkansas Medicaid Claims Questions Information Line (coverage, bills, beneficiary denial letters, or other services)1-800-482-5431Arkansas Medicaid Complaint Hotline (for complaints about healthcare)1-888-987-12002 more rows

You may call or email the DHS County Office at the phone number or webmail address shown to report changes for your TEA, Medicaid, or SNAP case(s). Please use the toll-free number provided if the DHS County Office number is long distance. Is this a new address?

To appeal, you must send a letter to DHS requesting an administrative hearing. You should have gotten a letter that told you about this decision. You must send your request for a hearing letter within 30 calendar days of the date on the letter (90 days for SNAP) or your request will be denied.

The Toll-Free Telephone Helpline, 1-800-275-1131, operates Monday through Friday am to pm. ConnectCare Helpline Specialists assign or change PCPs at the request of Medicaid and ARKids First beneficiaries.

How can I become an Arkansas Medicaid provider? To enroll as an Arkansas Medicaid provider, go the the online enrollment application. When applying online, there is less possibility for making errors that would result in your application being denied and returned to you for correction.

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Primary Care Physicians must complete the Primary Care Physician Agreement in order to have their managed care fees paid to a new group Provider ID Number. Providers can now complete and sign their applications electronically on the Health Care Provider Portal – there's no longer a need to send anything on paper.Complete your application with supporting documents. Providers who wish to contract with CareSource PASSE™ must also be credentialed. Through credentialing, we ... Completed W-9 (fill out a separate W-9 for each Tax ID used at your practice). Completed, signed, and dated Disclosure of Ownership Form. New provider application: Complete each section of the form with indication Not Applicable (N/A) where appropriate. Please include an. All providers must sign all applicable forms that require a signature and the Arkansas Medicaid Provider Contract. The signature must be an original signature ... 7 days ago — Enroll as a Medicare provider or supplier; Review information currently on file; Upload your supporting documents; Electronically sign and ... Use when submitting previously finalized (corrected) bills. Provider Application/Contract Request [pdf] Use to request application packet for new provider. The Official Website of the State of Arkansas · State Directory ... Refer to the document titled Omnia Outline Agreement Numbers and TIPS Outline Agreement ... Oct 26, 2022 — Policy. The Arkansas Department of Human Services (DHS) entered into an agreement ... the underpayment may file an SSI application (GN 00204.005).

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Arkansas Application Service Provider Agreement