Form DHCS100187 Drug Medi-Cal (Dmc) Claim Submission Certification - County Operated Provider(S) - California

Form DHCS100187 Drug Medi-Cal (Dmc) Claim Submission Certification - County Operated Provider(S) - California

What Is Form DHCS100187?

This is a legal form that was released by the California Department of Health Care Services - a government authority operating within California. Check the official instructions before completing and submitting the form.

FAQ

Q: What is DHCS100187 Drug Medi-Cal (Dmc) Claim Submission Certification?
A: DHCS100187 Drug Medi-Cal (Dmc) Claim Submission Certification is a form used by County Operated Providers in California to certify the submission of claims under the Drug Medi-Cal (DMC) program.

Q: What is the purpose of DHCS100187 form?
A: The purpose of DHCS100187 form is to certify the submission of claims for reimbursement under the Drug Medi-Cal (DMC) program.

Q: Who uses DHCS100187 form?
A: County Operated Providers in California use the DHCS100187 form.

Q: What is the Drug Medi-Cal (DMC) program?
A: The Drug Medi-Cal (DMC) program is a Medi-Cal specialty mental healthservices program that provides substance use disorder treatment services to eligible Medi-Cal beneficiaries.

Q: Are County Operated Providers the only providers eligible for the Drug Medi-Cal (DMC) program?
A: No, other types of providers such as licensed clinics and hospitals may also be eligible to participate in the Drug Medi-Cal (DMC) program.

Q: Is DHCS100187 form mandatory for County Operated Providers?
A: Yes, the DHCS100187 form is mandatory for County Operated Providers in California.

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Form Details:

  • Released on June 1, 2014;
  • 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 DHCS100187 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.

Download Form DHCS100187 Drug Medi-Cal (Dmc) Claim Submission Certification - County Operated Provider(S) - California

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  • Form DHCS100187 Drug Medi-Cal (Dmc) Claim Submission Certification - County Operated Provider(S) - California, Page 1
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