Form DHCS4490 Chdp Health Assessment Provider Application - California

What Is Form DHCS4490?

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 Form DHCS4490?
A: Form DHCS4490 is the Chdp Health Assessment Provider Application.

Q: What is Chdp?
A: Chdp stands for Child Health and Disability Prevention, which is a program in California that provides free preventive health care to eligible children.

Q: What is the purpose of the Form DHCS4490?
A: The purpose of the Form DHCS4490 is to apply to become a Chdp Health Assessment Provider in California.

Q: Who needs to fill out the Form DHCS4490?
A: Health care providers who wish to participate in the Chdp program and perform health assessments on eligible children need to fill out the Form DHCS4490.

Q: Are there any fees associated with the Form DHCS4490?
A: No, there are no fees associated with the Form DHCS4490.

Q: Are there any eligibility requirements to become a Chdp Health Assessment Provider?
A: Yes, there are eligibility requirements that health care providers must meet in order to become a Chdp Health Assessment Provider. These requirements can be found on the Form DHCS4490.

Q: What documents do I need to submit with the Form DHCS4490?
A: The specific documents that need to be submitted with the Form DHCS4490 can vary. It is best to refer to the instructions provided with the form.

Q: Who can I contact if I have questions about the Form DHCS4490?
A: You can contact the California Department of Health Care Services for assistance with the Form DHCS4490.

Q: How long does it take to process the Form DHCS4490?
A: The processing time for the Form DHCS4490 can vary. It is recommended to submit the form well in advance of the desired start date of participation in the Chdp program.