doc iconSection II rehabilitative services for persons with mental illness (rspmi)
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210.000 Program coverage
250.000 Billing procedures
200.000 Rehabilitative services for persons with mental illness (rspmi) general information
202.100 Certification Requirements by the Division of Behavioral Health Services (DBHS)
202.200 Providers with Multiple Sites
210.000 Program coverage
212.000 Quality Assurance
213.000 Staff Requirements
doc iconA  O’Brien, Ellen (2005). “Long-Term Care: Understanding Medicaid’s Role for the Elderly and Disabled. Kaiser Commission on Medicaid and the Uninsured, Novembe
49.26 Kb.
doc iconSection A: cfo forms: All Providers
49.28 Kb.
Provider Enrollment Checklist
Submit this checklist with all the above completed information/forms from Section A to
Medicaid provider enrollment checklist
Go to www.lamedicaid.com
Section A: cfo forms: All Providers preview 1 Section A: cfo forms: All Providers preview 2
doc iconIf you need assistance completing this application, please ask an Office of Public Assistance staff member
377.67 Kb.
C for TANF or Refugee Cash assistance
1 Dphhs-hcs-250 state of montana
Gray shaded areas are for instructions and agency use only.
Name (Last, First, Middle)
doc iconCertified Addiction Recovery Empowerment Specialist (cares)
25.35 Kb.
Personal information
Writing sample
Name and Location of School or Program
College or University
doc iconStates with Chafee Services
21.39 Kb.
Letter No. 00-41
South Carolina
South Dakota
doc iconDuties preview Duties
12.95 Kb.
Medicaid fraud control unit
Required Job Skills, Knowledge, And Abilities
doc icon200. 000 Developmental Day Treatment Clinic Services (ddtcs) general information
281.61 Kb.
doc iconArkansas Medicaid Supplemental data for rejected transactions and error codes 2
0.7 Mb.
doc icon201. 000 Arkansas Medicaid Certification Requirements for Autism Waiver Program
125.97 Kb.
doc iconProof of identity for medicaid new requirements for people who preview Proof of identity for medicaid new requirements for people who
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doc iconTexas Health and Human Services Commission
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doc iconA. Education and Experience
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doc iconI. Room and Board
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doc iconJob description
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