Specialty Mental Health Services Provider Certification and Recertification
行为健康信息通知和信函
10-04: MHP Self-certification Letter .pdf
认证表格
DHCS 1735 Medi-Cal 认证转送表 | 培训视频
发送的目的是请求以下交易：
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 县属经营认证申请表 | 培训视频
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.
资源
联系信息
合同和注册审查部（CERD）
医疗服务部
国会大道 1500 号，MS 2303
邮政信箱：997413
加州萨克拉门托 95899-7413
电子邮件：DMHCertification@dhcs.ca.gov