Form MC174 Medi-Cal Notice to Providers Clarification of Liability - California (English / Spanish)

Form MC174 Medi-Cal Notice to Providers Clarification of Liability - California (English / Spanish)

What Is Form MC174?

This is a legal form that was released by the California Department of Health Care Services - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the MC174 Medi-Cal Notice to Providers?
A: The MC174 Medi-Cal Notice to Providers is a document that provides clarification on liability for Medi-Cal services in California.

Q: Is the MC174 available in English and Spanish?
A: Yes, the MC174 is available in both English and Spanish.

Q: Who is the MC174 Medi-Cal Notice to Providers for?
A: The MC174 is for providers who offer Medi-Cal services in California.

Q: What does the MC174 document clarify?
A: The MC174 clarifies liability for Medi-Cal services and outlines information that providers need to know.

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Form Details:

  • Released on May 1, 2007;
  • The latest edition provided by the California Department of Health Care Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form MC174 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.

Download Form MC174 Medi-Cal Notice to Providers Clarification of Liability - California (English / Spanish)

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  • Form MC174 Medi-Cal Notice to Providers Clarification of Liability - California (English / Spanish), Page 1
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