Form DMHC10-112 Notice of Eap Exemption Form - California

Form DMHC10-112 Notice of Eap Exemption Form - California

What Is Form DMHC10-112?

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.

FAQ

Q: What is Form DMHC10-112?
A: Form DMHC10-112 is the Notice of Eap Exemption Form.

Q: What is the purpose of Form DMHC10-112?
A: The purpose of Form DMHC10-112 is to notify the California Department of Managed Health Care (DMHC) about an exemption from the Enrollment Application Project (EAP) requirement.

Q: Who needs to fill out Form DMHC10-112?
A: Health care service plans in California that meet certain exemption criteria need to fill out Form DMHC10-112.

Q: Are there any fees associated with Form DMHC10-112?
A: No, there are no fees associated with Form DMHC10-112.

Q: Can I submit Form DMHC10-112 electronically?
A: Yes, you can submit Form DMHC10-112 electronically.

Q: What happens after I submit Form DMHC10-112?
A: After you submit Form DMHC10-112, the California Department of Managed Health Care (DMHC) will review your exemption request.

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Form Details:

  • Released on January 1, 2019;
  • The latest edition provided by the California Department of Managed Health Care;
  • 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 DMHC10-112 by clicking the link below or browse more documents and templates provided by the California Department of Managed Health Care.

Download Form DMHC10-112 Notice of Eap Exemption Form - California

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