Significant Change / Modification Request Form - Children Private Duty Nursing - Idaho

Significant Change/Modification Request Form - Children Private Duty Nursing is a legal document that was released by the Idaho Department of Health and Welfare - a government authority operating within Idaho.

FAQ

Q: What is a Significant Change/Modification Request Form?
A: It is a form used for requesting a significant change or modification in children private duty nursing in Idaho.

Q: Who can use the Significant Change/Modification Request Form?
A: Anyone who wants to request a significant change or modification in children private duty nursing in Idaho.

Q: What information is required on the Significant Change/Modification Request Form?
A: The form requires information such as the child's name, date of birth, Medicaid ID number, and details of the requested change or modification.

Q: How long does it take to process the Significant Change/Modification Request Form?
A: The processing time may vary, but generally it takes around 30 days for the Idaho Department of Health and Welfare to review and make a decision on the request.

Q: Is there a fee for submitting the Significant Change/Modification Request Form?
A: No, there is no fee for submitting the form.

Q: What should I do if I have additional questions about the Significant Change/Modification Request Form?
A: You can contact the Idaho Department of Health and Welfare for any additional questions or clarification regarding the form.