Form DHCS4489 Ccs / Ghpp Discharge Planning Service Authorization Request (Sar) - California

What Is Form DHCS4489?

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 DHCS4489 form?
A: The DHCS4489 form is the California CCS/GHPP Discharge PlanningService Authorization Request (SAR).

Q: What does CCS stand for?
A: CCS stands for California Children's Services.

Q: What does GHPP stand for?
A: GHPP stands for Genetically Handicapped Persons Program.

Q: What is the purpose of the DHCS4489 form?
A: The DHCS4489 form is used to request authorization for discharge planning services under the California CCS/GHPP program.

Q: Who can use the DHCS4489 form?
A: The DHCS4489 form can be used by providers and healthcare facilities to request authorization for discharge planning services for eligible patients under the California CCS/GHPP program.

Q: Is there a fee for submitting the DHCS4489 form?
A: There is no fee for submitting the DHCS4489 form.

Q: What information is required on the DHCS4489 form?
A: The DHCS4489 form requires the provider/facility information, patient information, discharge planning information, and medical justification for the requested services.

Q: How long does it take to process the DHCS4489 form?
A: The processing time for the DHCS4489 form can vary, but it typically takes several weeks to receive a decision from the CCS/GHPP program.