PDF
Word
Form MAD627 Self-directed Provider Attestation Form - Cms Final Rule for Hcbs - New Mexico
What Is Form MAD627?
This is a legal form that was released by the New Mexico Human Services Department - a government authority operating within New Mexico. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the MAD627 Self-directed Provider Attestation Form?
A: The MAD627 Self-directed Provider Attestation Form is a form related to the CMS Final Rule for HCBS in New Mexico.
Q: What is the CMS Final Rule for HCBS?
A: The CMS Final Rule for HCBS refers to the regulations set by the Centers for Medicare and Medicaid Services (CMS) regarding Home and Community-Based Services (HCBS) in New Mexico.
Q: What is the purpose of the MAD627 Self-directed Provider Attestation Form?
A: The purpose of the MAD627 Self-directed Provider Attestation Form is to gather information and attestations from self-directed providers in New Mexico.
Q: Who needs to complete the MAD627 Self-directed Provider Attestation Form?
A: Self-directed providers in New Mexico need to complete the MAD627 Self-directed Provider Attestation Form.
Form Details:
- Released on January 2, 2018;
- The latest edition provided by the New Mexico Human Services Department;
- 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 Form MAD627 by clicking the link below or browse more documents and templates provided by the New Mexico Human Services Department.
Download Form MAD627 Self-directed Provider Attestation Form - Cms Final Rule for Hcbs - New Mexico
1
2
3
