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This version of the form is not currently in use and is provided for reference only. Download this version of
DSHS Form 15-398
for the current year.
DSHS Form 15-398 Medically Intensive Children's Program (Micp) Application - Washington
What Is DSHS Form 15-398?
This is a legal form that was released by the Washington State Department of Social and Health Services - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is DSHS Form 15-398?
A: DSHS Form 15-398 is the application form for the Medically Intensive Children's Program (MICP) in Washington.
Q: What is the Medically Intensive Children's Program (MICP)?
A: The Medically Intensive Children's Program (MICP) is a program in Washington that provides services to children with complex medical needs.
Q: Who can apply for the MICP?
A: Parents or guardians of children with complex medical needs in Washington can apply for the MICP.
Q: What information is required in the MICP application?
A: The MICP application requires information about the child's medical condition, treatments, current providers, and financial eligibility.
Form Details:
- Released on July 1, 2018;
- The latest edition provided by the Washington State Department of Social and Health Services;
- 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 DSHS Form 15-398 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 15-398 Medically Intensive Children's Program (Micp) Application - Washington
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