Master Participation Agreement
Watch the 6.9.16 AHI PPS Master Participation Agreement Conference Call video:
Please write in the organizational name and address on page 1, sign and date on page 22, and scan and email to [email protected] with the subject line: “Master Participation Agreement.”
Questions can be submitted to [email protected] with the subject line: “Master Participation Agreement Questions.” Questions will be responded to within 72 hours.
AHI PPS Partner Contract Package
- AHI Partner Financial Assessment Tool* – updated 2.13.17
*Please note we require the most recent three years of your audited financial statements.
- AHI PPS DSRIP Project Services Addendums
- AHI PPS Partner Intent Form
- Blank W-9 Form
- DSRIP Reciprocal Business Associate Agreement
- DSRIP Project Impact Matrix – updated 3.17.16
- Value Based Payment Survey
Completion is a prerequisite for entering into the Master Participation Agreement and Project Schedules with the AHI PPS.
Please email the documents and a copy of your organization’s W-9 Form to [email protected] with the subject line: “Contracting.” Please identify the documents attached in the body of the email.
Questions can be submitted to [email protected] with the subject line: “Contracting Question.”
See Resources for other forms and information.
Survey Review Conference Call
A web conference was held Tuesday, March 15, to review the PPS Project Impact Matrix Template and Financial Stability Survey documents.
Due to sound quality, the web conference recording is unavailable. Partners are invited to submit questions to the [email protected] mailbox with “Survey Review Conference Call” in the subject.
AHI PPS Steering Committee as of 6.1.16
AHI PPS Partners as of 4.27.17