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Form DHCS4431 Chdp Telecommunications Provider and Biller Application / Agreement - California
What Is Form DHCS4431?
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 Form DHCS4431?
A: Form DHCS4431 is the Chdp Telecommunications Provider and Biller Application/Agreement used in California.
Q: What is Chdp?
A: Chdp stands for child health and disability prevention program.
Q: Who uses Form DHCS4431?
A: Telecommunications providers and billers in California use Form DHCS4431.
Q: What is the purpose of Form DHCS4431?
A: The purpose of Form DHCS4431 is to apply to become a telecommunications provider and biller for the Chdp program in California.
Form Details:
- Released on February 1, 2012;
- 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 DHCS4431 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.
Download Form DHCS4431 Chdp Telecommunications Provider and Biller Application / Agreement - California
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