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.
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.
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.
Form Details:
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.