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This version of the form is not currently in use and is provided for reference only. Download this version of
DSHS Form 13-712
for the current year.
DSHS Form 13-712 Behavioral Health Personal Care (Bhpc) Request for Mco Funding - Washington
What Is DSHS Form 13-712?
This is a legal form that was released by the Washington State Department of Social and Health Services - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is DSHS Form 13-712?
A: DSHS Form 13-712 is the Behavioral Health Personal Care (BHPC) Request for MCO Funding form used in Washington.
Q: What is BHPC?
A: BHPC stands for Behavioral Health Personal Care.
Q: Who is the form used by?
A: The form is used by individuals in Washington who need behavioral healthpersonal care services.
Q: What is MCO?
A: MCO stands for Managed Care Organization.
Q: What is the purpose of the form?
A: The form is used to request funding for behavioral health personal care services from an MCO in Washington.
Form Details:
- Released on January 1, 2021;
- The latest edition provided by the Washington State Department of Social and Health 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 printable version of DSHS Form 13-712 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.
Download DSHS Form 13-712 Behavioral Health Personal Care (Bhpc) Request for Mco Funding - Washington
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