Form DHCS6210 Medi-Cal Physician Application / Agreement - California

What Is Form DHCS6210?

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 DHCS6210?
A: Form DHCS6210 is the Medi-Cal Physician Application/Agreement in California.

Q: Who needs to fill out Form DHCS6210?
A: Physicians who want to participate in the Medi-Cal program in California need to fill out the Form DHCS6210.

Q: Is there a fee to submit Form DHCS6210?
A: No, there is no fee to submit Form DHCS6210.

Q: Can I submit Form DHCS6210 electronically?
A: Yes, you can submit Form DHCS6210 electronically.

Q: What information do I need to provide in Form DHCS6210?
A: Form DHCS6210 requires you to provide information about your medical license, education, training and experience, as well as your practice information.

Q: How long does it take to process Form DHCS6210?
A: The processing time for Form DHCS6210 may vary, but it usually takes several weeks to complete.

Q: What happens after I submit Form DHCS6210?
A: After you submit Form DHCS6210, your application will be reviewed by the California Department of Health Care Services (DHCS) to determine your eligibility to participate in the Medi-Cal program.

Q: Can I make changes to Form DHCS6210 after submission?
A: If you need to make changes to Form DHCS6210 after submission, you should contact the California Department of Health Care Services (DHCS) for further instructions.

Q: Is the Form DHCS6210 available in languages other than English?
A: Yes, the Form DHCS6210 is available in several languages other than English, including Spanish.