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File #: ID-26-0060    Version: 1 Name:
Type: Action Item Status: Agenda Ready
File created: 1/20/2026 In control: Board of Mayor and Aldermen
On agenda: 1/23/2026 Final action:
Title: Authorize Mayor to execute the following with ModivCare Solutions, LLC: 1. Non-Emergency Medical Transportation Account Setup Agreement 2. Subcontractor Business Associate Agreement 3. Part A: Disclosure of Ownership and Control 4. Part B: Disclosure of Convictions 5. Part C: Disclosure of Business Transactions 6. Addendum to Account Setup Agreement for Medicare Advantage Program 7. Electronic Funds Transfer (EFT) Authorization Agreement 8. Medicare Advantage Programs Provider Agreement Requirements 9. Transportation Provider Compliance Attestation 10. Transportation Provider Manual Acknowledgement of Receipt 11. Accept Disabled Minority Business Enterprise (DWMBE) Questionnaire 12. Accept Modivcare Provider Network Questionnaire
Attachments: 1. MODIVCARE
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Title

Authorize Mayor to execute the following with ModivCare Solutions, LLC:

1. Non-Emergency Medical Transportation Account Setup Agreement

2. Subcontractor Business Associate Agreement

3. Part A: Disclosure of Ownership and Control

4. Part B: Disclosure of Convictions

5. Part C: Disclosure of Business Transactions

6. Addendum to Account Setup Agreement for Medicare Advantage Program

7. Electronic Funds Transfer (EFT) Authorization Agreement

8. Medicare Advantage Programs Provider Agreement Requirements

9. Transportation Provider Compliance Attestation

10. Transportation Provider Manual Acknowledgement of Receipt

11. Accept Disabled Minority Business Enterprise (DWMBE) Questionnaire

12. Accept Modivcare Provider Network Questionnaire