This version of the form is not currently in use and is provided for reference only. Download this version of DSHS Form 15-492 for the current year.
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 Lao. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is DSHS Form 15-492?
A: DSHS Form 15-492 is a Medicaid Transformation Demonstration Service Notice in Washington.
Q: What is Medicaid Transformation Demonstration?
A: Medicaid Transformation Demonstration is a program in Washington that aims to improve healthcare services for Medicaid beneficiaries.
Q: Who is eligible for Medicaid Transformation Demonstration?
A: Medicaid beneficiaries in Washington may be eligible for the Medicaid Transformation Demonstration program.
Q: What does DSHS stand for?
A: DSHS stands for Washington State Department of Social and Health Services.
Q: What is the purpose of the Medicaid Transformation Demonstration Service Notice?
A: The purpose of the Medicaid Transformation Demonstration Service Notice is to inform Medicaid beneficiaries about changes and updates to the program in Washington.
Q: What services are covered under Medicaid Transformation Demonstration?
A: Services covered under Medicaid Transformation Demonstration include primary care, behavioral health services, and long-term services and supports.
Q: Are there any costs associated with Medicaid Transformation Demonstration?
A: Medicaid Transformation Demonstration may have certain costs associated with certain services, but it depends on the individual's eligibility and specific circumstances.
Q: Is Medicaid Transformation Demonstration available in other states besides Washington?
A: Medicaid Transformation Demonstration programs may exist in other states, but the details and services provided may vary.
Form Details:
Download a printable version of DSHS Form 15-492 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.