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 Russian. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is DSHS Form 05-255 RU?
A: DSHS Form 05-255 RU is a form used in Washington to provide notice of action for the Medicaid Transformation Demonstration.
Q: What is the Medicaid Transformation Demonstration?
A: The Medicaid Transformation Demonstration is a program in Washington that seeks to improve healthcare delivery and outcomes for Medicaid recipients.
Q: What is an Exception to Rule?
A: An Exception to Rule is a specific circumstance in which an individual may be exempt from certain Medicaid program rules.
Q: Who is this notice of action for?
A: This notice of action is for individuals who are participating in the Medicaid Transformation Demonstration program in Washington.
Q: What should I do if I receive this notice of action?
A: If you receive this notice of action, you should carefully review it and follow any instructions provided. If you have questions or need assistance, you can contact the Department of Social and Health Services (DSHS).
Q: Is this form available in languages other than Russian?
A: No, this specific form is provided in Russian language for the convenience of Russian-speaking individuals in Washington.
Form Details:
Download a printable version of DSHS Form 05-255 RU by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.