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Instructions for Form DHCS100185 Drug Medi-Cal (Dmc) Claim Submission Certification - Direct Contract Provider - California
This document contains official instructions for Form DHCS100185 , Drug Medi-Cal (Dmc) Claim Submission Certification - Direct Contract Provider - a form released and collected by the California Department of Health Care Services. An up-to-date fillable Form DHCS100185 is available for download through this link.
FAQ
Q: What is Form DHCS100185?
A: Form DHCS100185 is the Drug Medi-Cal (DMC) Claim Submission Certification for Direct Contract Providers in California.
Q: What is the purpose of Form DHCS100185?
A: The purpose of Form DHCS100185 is to certify that a provider meets the requirements for submitting DMC claims as a direct contract provider in California.
Q: Who should use Form DHCS100185?
A: Direct contract providers in California should use Form DHCS100185.
Q: How do I fill out Form DHCS100185?
A: Follow the instructions provided on the form to fill out Form DHCS100185.
Q: Is there a fee to submit Form DHCS100185?
A: No, there is no fee to submit Form DHCS100185.
Q: What happens after I submit Form DHCS100185?
A: After you submit Form DHCS100185, DHCS will review your submission and notify you of the outcome.
Q: Can I make changes to Form DHCS100185 after submitting it?
A: No, you cannot make changes to Form DHCS100185 after submitting it. Make sure to review the form before submission.
Q: Are there any additional requirements for DMC claims as a direct contract provider?
A: Yes, there may be additional requirements for DMC claims as a direct contract provider. Refer to the instructions on Form DHCS100185 or contact DHCS for more information.
Instruction Details:
- This 1-page document is available for download in PDF;
- Actual and applicable for the current year;
- Complete, printable, and free.
Download your copy of the instructions by clicking the link below or browse hundreds of other forms in our library of forms released by the California Department of Health Care Services.
