This is a legal form that was released by the Oklahoma Department of Human Services - a government authority operating within Oklahoma. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form 02AD036E?
A: Form 02AD036E is an amendment to the Conditions of Provider Participation for the Medicaid State Plan Personal Care Program in Oklahoma.
Q: What does this form do?
A: This form amends the Conditions of Provider Participation for the Medicaid State Plan Personal Care Program in Oklahoma.
Q: Who is this form for?
A: This form is for providers participating in the Medicaid State Plan Personal Care Program in Oklahoma.
Q: What is the Medicaid State Plan Personal Care Program?
A: The Medicaid State Plan Personal Care Program is a program that provides personal care services to eligible individuals in Oklahoma.
Q: What are the Conditions of Provider Participation?
A: The Conditions of Provider Participation are the requirements that providers must meet in order to participate in the Medicaid State Plan Personal Care Program in Oklahoma.
Q: Why would providers need to amend the Conditions of Provider Participation?
A: Providers may need to amend the Conditions of Provider Participation if there are changes to their eligibility or if they want to update their information.
Form Details:
Download a fillable version of Form 02AD036E by clicking the link below or browse more documents and templates provided by the Oklahoma Department of Human Services.