DOH Form 346-114 Tribal Attestation for Behavioral Health Agencies: for Substance Use Disorder Services, Mental Health Services, and Licensure - Washington

What Is DOH Form 346-114?

This is a legal form that was released by the Washington State Department of Health - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the DOH Form 346-114?
A: The DOH Form 346-114 is a tribal attestation form for behavioral health agencies in Washington.

Q: What does the form cover?
A: The form covers tribal attestation for substance use disorder services, mental health services, and licensure.

Q: Who needs to fill out this form?
A: Behavioral health agencies in Washington that provide substance use disorder services, mental health services, and/or require licensure need to fill out this form.

Q: What is the purpose of this form?
A: The purpose of this form is to attest that the behavioral health agency meets the requirements for tribal certification, licensure, or recognition.

Q: Are there any fees associated with this form?
A: There are no fees associated with submitting this form.

Q: Are there any deadlines for submitting this form?
A: Specific deadlines for submitting this form may vary. It is important to check with the Washington State Department of Health for the most up-to-date information.

Q: What are the consequences of not submitting this form?
A: Failure to submit this form may result in non-compliance with tribal certification, licensure, or recognition requirements.

Q: Is there any assistance available for filling out this form?
A: Yes, the Washington State Department of Health provides assistance and guidance for filling out the DOH Form 346-114. Contact the department for more information.