Form HS269 Application for Medi-Cal Certification as a Primary Care Clinic Provider - California

What Is Form HS269?

This is a legal form that was released by the California Department of Public Health - 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 HS269 form?
A: The HS269 form is the Application for Medi-Cal Certification as a Primary Care Clinic Provider in California.

Q: Who needs to fill out the HS269 form?
A: Primary care clinic providers in California who want to be certified for Medi-Cal.

Q: What is Medi-Cal?
A: Medi-Cal is California's Medicaid program, which provides free or low-cost healthcare coverage to eligible residents.

Q: Why would a primary care clinic provider need to be certified for Medi-Cal?
A: Certification allows providers to participate in the Medi-Cal program and receive reimbursement for services provided to eligible patients.

Q: Are there any fees associated with the HS269 application?
A: No, there are no fees for submitting the HS269 application.

Q: What documents need to be included with the HS269 application?
A: The application requires various supporting documents such as licenses, certifications, and proof of clinic ownership.

Q: How long does it take to process the HS269 application?
A: The processing time can vary, but it typically takes several weeks to review and approve the application.

Q: Can I start providing services to Medi-Cal patients while waiting for my application to be processed?
A: No, providers must wait for their application to be approved and receive a certification before they can bill Medi-Cal for services.

Q: Who can I contact for assistance with the HS269 application?
A: For assistance with the HS269 application, you can contact the California Department of Health Care Services or your local county office.