Form DHCS4481 Outpatient Infant Hearing Screening Provider Application - California

What Is Form DHCS4481?

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 DHCS4481?
A: DHCS4481 is the application form for outpatient infant hearing screening provider in California.

Q: Who needs to fill out this form?
A: Any provider who wants to provide outpatient infant hearing screening in California needs to fill out this form.

Q: Is there a fee for submitting this application?
A: No, there is no fee for submitting the DHCS4481 application.

Q: What information is required on DHCS4481 form?
A: The DHCS4481 form requires information such as provider name, contact information, qualifications, and details of the screening equipment.

Q: Are there any specific requirements to become a provider?
A: Yes, providers must meet certain qualifications and adhere to specific guidelines set by the DHCS.

Q: How long does it take to process the application?
A: The processing time for DHCS4481 application varies, but it typically takes a few weeks to a couple of months.

Q: Can I start providing services while my application is being processed?
A: No, you cannot start providing outpatient infant hearing screening services until your application is approved by the DHCS.

Q: What should I do if I have questions or need assistance with the application?
A: If you have questions or need assistance with the DHCS4481 application, you can contact the DHCS directly for support.

Q: Is there a deadline for submitting DHCS4481?
A: There is no specific deadline for submitting DHCS4481, but it is recommended to submit the application as soon as possible to avoid delays in the approval process.