Specialty Mental Health Services Provider Certification and Recertification
행동 건강 정보 고지 및 서신
10-04: MHP Self-certification Letter.pdf
인증 양식
DHCS 1735 메디칼 인증 전송 양식 | 교육 비디오
전송의 목적은 다음 거래를 요청하는 것입니다:
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 카운티 소유 및 운영 인증 신청서 | 교육 비디오
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.
리소스
연락처 정보
계약 및 등록 검토 부서(CERD)
건강 관리 서비스부
1500 캐피톨 애비뉴, MS 2303
PO Box 997413
새크라멘토, CA 95899-7413
이메일 DMHCertification@dhcs.ca.gov