WVRHITEC Participation Agreement doc Preview on Page 1

WVRHITEC Participation Agreement doc 2026

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  1. Click ‘Get Form’ to open the WVRHITEC Participation Agreement in the editor.
  2. Begin by filling in the effective date at the top of the document. This is crucial for establishing when the agreement takes effect.
  3. In Section I, PA REACH West Services, review and ensure that all services listed are applicable to your organization. You may highlight or annotate any specific services you wish to discuss further.
  4. Proceed to Section II, Provider Organization Responsibilities. Fill in your organization’s demographic information as required in Exhibit A. Ensure accuracy for compliance purposes.
  5. In Exhibit B, document time spent by your administrative staff and providers working with PA REACH West. This is essential for meeting federal requirements.
  6. Finally, review all sections for completeness and accuracy before signing. Use our platform's commenting feature to collaborate with team members if needed.

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Related links

State of West Virginia Bureau for Medical Services

(WVRHITEC) 4.2 Participation in Health Information Exchange 44. 4.3 Annual Benchmarks

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