Form DHCS9086 California Children's Services Maintenance and / or Transportation Authorization - California

What Is Form DHCS9086?

This is a legal form that was released by the California Department of Health Care Services - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is DHCS9086?
A: DHCS9086 is a form used for requesting maintenance and/or transportation authorization for the California Children's Services program.

Q: What is the California Children's Services program?
A: The California Children's Services (CCS) program provides specialized medical care and treatment for children with certain eligible medical conditions.

Q: Who can use the DHCS9086 form?
A: Healthcare providers who are enrolled in the CCS program can use the DHCS9086 form to request maintenance and/or transportation authorization for their eligible patients.

Q: What is maintenance authorization?
A: Maintenance authorization refers to the approval for ongoing medical care and treatment services, such as prescription medications, medical supplies, and equipment.

Q: What is transportation authorization?
A: Transportation authorization refers to the approval for transportation services to help children travel to and from medical appointments related to their eligible medical conditions.

Q: What information is required on the DHCS9086 form?
A: The DHCS9086 form requires information such as the patient's name, CCS client identification number, healthcare provider's information, medical diagnosis, requested services, and supporting documentation.

Q: How long does it take to process a DHCS9086 form?
A: The processing time for a DHCS9086 form varies, but it typically takes a few weeks to receive a decision on the authorization request.

Q: Is there a cost associated with the DHCS9086 form?
A: No, there is no cost to submit the DHCS9086 form or to request maintenance and/or transportation authorization through the CCS program.