This version of the form is not currently in use and is provided for reference only. Download this version of Form DMHC10-195 for the current year.
This is a legal form that was released by the California Department of Managed Health Care - 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 DMHC10-195?
A: DMHC10-195 is the code for the Pre-filing Request Form in California.
Q: What is the purpose of the Pre-filing Request Form?
A: The Pre-filing Request Form is used to request assistance or clarification from the California Department of Managed Health Care (DMHC) regarding the filing of a health plan application.
Q: Who can use the Pre-filing Request Form?
A: Anyone who is planning to file a health plan application in California can use the Pre-filing Request Form.
Q: Do I need to submit the Pre-filing Request Form before filing a health plan application?
A: It is recommended to submit the Pre-filing Request Form before filing a health plan application to seek assistance or clarification from the California Department of Managed Health Care (DMHC).
Q: Is there a fee for submitting the Pre-filing Request Form?
A: No, there is no fee for submitting the Pre-filing Request Form.
Q: What information should I include in the Pre-filing Request Form?
A: The Pre-filing Request Form requires you to provide your contact information, details about your health plan application, and any specific questions or concerns.
Q: How long does it take to receive a response after submitting the Pre-filing Request Form?
A: The California Department of Managed Health Care (DMHC) aims to respond to Pre-filing Request Forms within 15 business days.
Form Details:
Download a fillable version of Form DMHC10-195 by clicking the link below or browse more documents and templates provided by the California Department of Managed Health Care.