Specialty Mental Health Services Provider Certification and Recertification
行動健康情報の通知と手紙
10-04: MHP Self-certification Letter.pdf
認証フォーム
DHCS 1735 Medi-Cal認証送付状 | トレーニングビデオ
送付状の目的は、次の取引を要求することです。
County-owned and operated provider – activate mode(s) or service, termination of a mode(s) or all services, address change and name change.
Contracted provider – activate a new provider, activate a mode(s) of service, and terminate mode(s) or all services, recertification, address change and name change.
DHCS 1736 郡が所有および運営する認証申請書 | トレーニングビデオ
The purpose of the form is for the County to submit an application for a new county-owned and operated provider.
DHCS 1737 County-Owned and Operated Provider Self-Survey Form | Training Video
The purpose of the Self-Survey Form is for the recertification of a county-owned and operated provider.
リソース
連絡先
契約・登録審査課 (CERD)
医療サービス局
1500 Capitol Avenue, MS 2303
PO Box 997413
Sacramento, CA 95899-7413
メールアドレス: DMHCertification@dhcs.ca.gov