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 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.
Form Details:
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.