Form DHCS6204 Medi-Cal Provider Application - California

Notification Icon This version of the form is not currently in use and is provided for reference only. Download this version of Form DHCS6204 for the current year.

Form DHCS6204 Medi-Cal Provider Application - California

What Is Form DHCS6204?

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 the DHCS6204 Medi-Cal Provider Application?
A: The DHCS6204 Medi-Cal Provider Application is a form that healthcare providers in California use to apply to participate in the Medi-Cal program.

Q: Who needs to fill out the DHCS6204 Medi-Cal Provider Application?
A: Healthcare providers in California who want to participate in the Medi-Cal program need to fill out the DHCS6204 Medi-Cal Provider Application.

Q: What is the purpose of the DHCS6204 Medi-Cal Provider Application?
A: The purpose of the DHCS6204 Medi-Cal Provider Application is to gather information from healthcare providers in California who are interested in participating in the Medi-Cal program.

Q: How do I fill out the DHCS6204 Medi-Cal Provider Application?
A: To fill out the DHCS6204 Medi-Cal Provider Application, you will need to provide information about your healthcare practice, your qualifications, and other relevant details.

Q: What documents do I need to submit with the DHCS6204 Medi-Cal Provider Application?
A: The specific documents required may vary, but you will typically need to submit copies of your professional licenses, certifications, and other relevant documents.

Q: What happens after I submit the DHCS6204 Medi-Cal Provider Application?
A: After you submit the DHCS6204 Medi-Cal Provider Application, it will be reviewed by the California Department of Health Care Services (DHCS), and you will be notified of the outcome.

Q: How long does it take to process the DHCS6204 Medi-Cal Provider Application?
A: The processing time for the DHCS6204 Medi-Cal Provider Application can vary, but it typically takes several weeks to a few months.

Q: Can I check the status of my DHCS6204 Medi-Cal Provider Application?
A: Yes, you can check the status of your DHCS6204 Medi-Cal Provider Application by contacting the California Department of Health Care Services (DHCS).

Q: What should I do if there is a mistake on my DHCS6204 Medi-Cal Provider Application?
A: If you discover a mistake on your DHCS6204 Medi-Cal Provider Application, you should contact the California Department of Health Care Services (DHCS) to correct the error.

ADVERTISEMENT

Form Details:

  • Released on September 1, 2020;
  • The latest edition provided by the California Department of Health Care Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form DHCS6204 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.

Download Form DHCS6204 Medi-Cal Provider Application - California

4.5 of 5 (24 votes)
  • Form DHCS6204 Medi-Cal Provider Application - California

    1

  • Form DHCS6204 Medi-Cal Provider Application - California, Page 2

    2

  • Form DHCS6204 Medi-Cal Provider Application - California, Page 3

    3

  • Form DHCS6204 Medi-Cal Provider Application - California, Page 4

    4

  • Form DHCS6204 Medi-Cal Provider Application - California, Page 5

    5

  • Form DHCS6204 Medi-Cal Provider Application - California, Page 6

    6

  • Form DHCS6204 Medi-Cal Provider Application - California, Page 7

    7

  • Form DHCS6204 Medi-Cal Provider Application - California, Page 8

    8

  • Form DHCS6204 Medi-Cal Provider Application - California, Page 9

    9

  • Form DHCS6204 Medi-Cal Provider Application - California, Page 10

    10

  • Form DHCS6204 Medi-Cal Provider Application - California, Page 11

    11

  • Form DHCS6204 Medi-Cal Provider Application - California, Page 12

    12

  • Form DHCS6204 Medi-Cal Provider Application - California, Page 1
  • Form DHCS6204 Medi-Cal Provider Application - California, Page 2
  • Form DHCS6204 Medi-Cal Provider Application - California, Page 3
  • Form DHCS6204 Medi-Cal Provider Application - California, Page 4
  • Form DHCS6204 Medi-Cal Provider Application - California, Page 5
  • Form DHCS6204 Medi-Cal Provider Application - California, Page 6
  • Form DHCS6204 Medi-Cal Provider Application - California, Page 7
  • Form DHCS6204 Medi-Cal Provider Application - California, Page 8
  • Form DHCS6204 Medi-Cal Provider Application - California, Page 9
  • Form DHCS6204 Medi-Cal Provider Application - California, Page 10
  • Form DHCS6204 Medi-Cal Provider Application - California, Page 11
  • Form DHCS6204 Medi-Cal Provider Application - California, Page 12
Prev 1 2 3 4 5 ... 12 Next
ADVERTISEMENT

Related Documents