ແຈ້ງ​ການ​ຂໍ້​ມູນ​ຂ່າວ​ສານ​ສຸ​ຂະ​ພາບ​ພຶດ​ຕິ​ກໍາ​ແລະ​ຕົວ​ອັກ​ສອນ

10-04: MHP Self-certification Letter.pdf

ແບບຟອມການຢັ້ງຢືນ

ແບບຟອມສົ່ງຜ່ານໃບຢັ້ງຢືນ Medi-Cal DHCS 1735 | ວິດີໂອການຝຶກອົບຮົມ
ຈຸດ​ປະ​ສົງ​ຂອງ​ການ​ສົ່ງ​ຕໍ່​ແມ່ນ​ເພື່ອ​ຮ້ອງ​ຂໍ​ການ​ເຮັດ​ທຸ​ລະ​ກໍາ​ດັ່ງ​ຕໍ່​ໄປ​ນີ້​:

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.

ແບບຟອມຄໍາຮ້ອງການຢັ້ງຢືນ DHCS 1736 County-ເປັນເຈົ້າຂອງ ແລະດໍາເນີນການ | ວິດີໂອການຝຶກອົບຮົມ
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.

ຊັບ​ພະ​ຍາ​ກອນ

• ສັນຍາແຜນສຸຂະພາບຈິດ
• ຫນ້າທໍາອິດການກວດສອບແລະການສືບສວນ

ຂໍ້​ມູນ​ຕິດ​ຕໍ່

ພະແນກທົບທວນສັນຍາ ແລະ ການລົງທະບຽນ (CERD)
ກົມບໍລິການດ້ານສຸຂະພາບ
1500 Capitol Avenue, MS 2303
ຕູ້ໄປສະນີ 997413
Sacramento, CA 95899-7413

ອີເມວ: DMHCertification@dhcs.ca.gov