Health Care Agreement Template for United States

1. Research Protocols: Required when the agreement involves clinical research activities

2. Teaching Facility Provisions: Included when the agreement involves medical education or training programs

3. Equipment and Facilities: Needed when specific equipment or facility requirements are part of the agreement

4. Quality Metrics and Reporting: Used when specific quality measures and reporting requirements are part of the arrangement

5. Subspecialty Services: Required when agreement covers specific medical subspecialties

6. Telemedicine Services: Included when remote healthcare services are part of the agreement

7. Emergency Services Protocol: Required for facilities providing emergency medical services

8. Pharmaceutical Services: Included when medication management or pharmacy services are involved

1. Schedule A - Service Locations: List of approved facilities and locations where services will be provided

2. Schedule B - Fee Schedule: Detailed breakdown of fees, charges, and payment rates

3. Schedule C - Required Insurance Coverage: Specific insurance requirements and minimum coverage amounts

4. Schedule D - Quality Metrics: Detailed quality standards and performance metrics

5. Schedule E - HIPAA Business Associate Agreement: Detailed HIPAA compliance requirements and procedures

6. Schedule F - Credentialing Requirements: Required qualifications, certifications, and credentials

7. Appendix 1 - Required Forms: Standard forms and documentation templates

8. Appendix 2 - Policies and Procedures: Relevant operational policies and procedures

9. Appendix 3 - Emergency Protocols: Emergency response procedures and protocols