PDF
Word
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.
DSHS Form 15-492 Medicaid Transformation Demonstration Service Notice - Washington (Lao)
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.
FAQ
Q: What is DSHS Form 15-492?
A: DSHS Form 15-492 is a Medicaid Transformation Demonstration Service Notice.
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 individuals about changes in Medicaid services in Washington.
Q: Who is issuing the Medicaid Transformation Demonstration Service Notice?
A: The notice is issued by the Department of Social and Health Services (DSHS) in Washington.
Q: What does the Medicaid Transformation Demonstration Service Notice include?
A: The notice includes information about changes to Medicaid services, options for accessing care, and contacts for more information.
Q: Why is the notice important?
A: The notice is important because it provides individuals with information about changes to Medicaid services that may affect their access to care.
Form Details:
- Released on August 1, 2019;
- 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.
