Form DOH-5038 Management Contract Statement and Certification - New York

Form DOH-5038 Management Contract Statement and Certification - New York

What Is Form DOH-5038?

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.

FAQ

Q: What is the DOH-5038 Management Contract Statement and Certification?
A: DOH-5038 is a form used in New York to certify the management contract between a health care provider and a management company.

Q: Why is the DOH-5038 Management Contract Statement and Certification used?
A: It is used to ensure compliance with state laws regarding management contracts in the healthcare industry.

Q: Who needs to fill out the DOH-5038 Management Contract Statement and Certification?
A: Both the health care provider and the management company need to complete and sign the form.

Q: What information is required on the DOH-5038 Management Contract Statement and Certification?
A: The form requires information about the health care provider, management company, and the details of the management contract.

Q: Is the DOH-5038 Management Contract Statement and Certification required for all health care providers in New York?
A: Yes, it is required for all health care providers who enter into management contracts with a management company.

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Form Details:

  • Released on September 1, 2011;
  • The latest edition provided by the New York State Department of Health;
  • 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 printable version of Form DOH-5038 by clicking the link below or browse more documents and templates provided by the New York State Department of Health.

Download Form DOH-5038 Management Contract Statement and Certification - New York

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