DSHS Form 15-492 Medicaid Transformation Demonstration Service Notice - Washington (Vietnamese)

DSHS Form 15-492 Medicaid Transformation Demonstration Service Notice - 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 15-492?
A: The DSHS Form 15-492 is a Medicaid Transformation Demonstration Service Notice.

Q: What does the Medicaid Transformation Demonstration Service Notice do?
A: The Medicaid Transformation Demonstration Service Notice provides information related to Medicaid transformation in Washington.

Q: Who is it for?
A: It is for Vietnamese-speaking individuals in Washington who receive Medicaid benefits.

Q: What information does it contain?
A: The notice contains information about changes to Medicaid services and how they may affect individuals.

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Form Details:

  • Released on December 1, 2018;
  • 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 15-492 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 15-492 Medicaid Transformation Demonstration Service Notice - Washington (Vietnamese)

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  • DSHS Form 15-492 Medicaid Transformation Demonstration Service Notice - Washington (Vietnamese), Page 1
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