This is a legal form that was released by the New York State Department of Health - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is DOH-4400 Tpa/Aso Election Application?
A: DOH-4400 Tpa/Aso Election Application is a form used in New York for applying for a Third Party Administrator (TPA) or Appointed Service Organization (ASO) election.
Q: Who can use the DOH-4400 Tpa/Aso Election Application?
A: The DOH-4400 Tpa/Aso Election Application can be used by entities in New York that want to apply for TPA or ASO election status.
Q: What is a Third Party Administrator (TPA) or Appointed Service Organization (ASO) election?
A: A TPA or ASO election is a process in which an entity is selected to provide administrative services for a health care plan in New York.
Q: What information is required in the DOH-4400 form?
A: The DOH-4400 form requires information such as the entity's name, contact information, services provided, and a detailed description of the entity's qualifications.
Q: Are there any fees associated with submitting the DOH-4400 form?
A: No, there are no fees associated with submitting the DOH-4400 Tpa/Aso Election Application form in New York.
Q: What is the deadline for submitting the DOH-4400 Tpa/Aso Election Application?
A: The deadline for submitting the DOH-4400 Tpa/Aso Election Application may vary, so it is best to check the instructions on the form or contact the New York State Department of Health (DOH) for the most up-to-date information.
Form Details:
Download a printable version of Form DOH-4400 by clicking the link below or browse more documents and templates provided by the New York State Department of Health.