DSHS Form 13-734 Documentation of First Use of Medicaid Benefits (Dda) - Washington (Vietnamese)

DSHS Form 13-734 Documentation of First Use of Medicaid Benefits (Dda) - Washington (Vietnamese)

This is a legal form that was released by the Washington State Department of Social and Health Services - a government authority operating within Washington.

The document is provided in Vietnamese. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the DSHS Form 13-734?
A: The DSHS Form 13-734 is a documentation form for the first use of Medicaid benefits for DDA (Developmental Disabilities Administration) in Washington.

Q: Who needs to complete the DSHS Form 13-734?
A: Individuals who are applying for or receiving DDA services in Washington and are using Medicaid benefits for the first time need to complete this form.

Q: What is the purpose of the DSHS Form 13-734?
A: The purpose of this form is to document the first use of Medicaid benefits for DDA services in Washington.

Q: Are there any instructions or guidelines for completing the DSHS Form 13-734?
A: Yes, the form comes with instructions and guidelines that should be followed carefully while completing it.

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Form Details:

  • Released on June 1, 2008;
  • The latest edition provided by the Washington State Department of Social and Health Services;
  • Easy to use and ready to print;
  • Available in Spanish;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of DSHS Form 13-734 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.

Download DSHS Form 13-734 Documentation of First Use of Medicaid Benefits (Dda) - Washington (Vietnamese)

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