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DSHS Form 05-255 SM Medicaid Transformation Demonstration Notice of Action Exception to Rule - Washington (Somali)
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 Somali. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is DSHS Form 05-255 SM?
A: DSHS Form 05-255 SM is a document related to Medicaid Transformation Demonstration Notice of Action Exception to Rule, specifically for the state of Washington.
Q: What is Medicaid Transformation Demonstration?
A: Medicaid Transformation Demonstration is a program aimed at testing new ways to deliver and pay for health care services in the Medicaid program.
Q: What is Notice of Action?
A: Notice of Action is a written document that informs an individual or household of a decision regarding their eligibility for benefits or services.
Q: Who is this document for?
A: This document is specifically for Somali-speaking individuals in Washington.
Q: What is the purpose of this form?
A: The purpose of this form is to inform individuals of an exception to a rule in relation to their Medicaid benefits.
Form Details:
- Released on May 1, 2017;
- 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;
Download a printable version of DSHS Form 05-255 SM by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.
