Specialty Mental Health Services Provider Certification and Recertification
行為健康信息通知和信件
10-04: MHP Self-certification Letter .pdf
認證表格
DHCS 1735 醫用卡認證傳送表格 | 培訓視頻
傳送的目的是要求以下交易：
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 縣擁有和經營的認證申請表 | 培訓視頻
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.
資源
聯絡資訊
合約與登記審核處 (CERD)
健康照護服務部
國會大道 1500 號，MS 2303
郵政信箱 997413
Sacramento, CA 95899-7413
電子郵件DMHCertification@dhcs.ca.gov