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North Dakota Medicaid Provider Enrollment Attestation - Licensed Baccalaureate Social Worker - North Dakota
North Dakota Medicaid Provider Enrollment Attestation - Licensed Baccalaureate Social Worker is a legal document that was released by the North Dakota Department of Health and Human Services - a government authority operating within North Dakota.
FAQ
Q: What is the North Dakota Medicaid Provider Enrollment Attestation?
A: It is a form that licensed Baccalaureate Social Workers need to complete.
Q: Who needs to complete the North Dakota Medicaid Provider Enrollment Attestation?
A: Licensed Baccalaureate Social Workers in North Dakota.
Q: What is the purpose of the North Dakota Medicaid Provider Enrollment Attestation?
A: To enroll Baccalaureate Social Workers as Medicaid providers in North Dakota.
Q: Is the North Dakota Medicaid Provider Enrollment Attestation specific to licensed Baccalaureate Social Workers?
A: Yes, it is specifically for licensed Baccalaureate Social Workers in North Dakota.
Form Details:
- Released on September 6, 2019;
- The latest edition currently provided by the North Dakota Department of Health and Human Services;
- Ready to use and print;
- Easy to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the North Dakota Department of Health and Human Services.
