Form CDA7013 Cbas Temporary Alternative Services Provider Participation Agreement - California

Form CDA7013 Cbas Temporary Alternative Services Provider Participation Agreement - California

What Is Form CDA7013?

This is a legal form that was released by the California Department of Aging - 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 CDA7013 Cbas Temporary Alternative Services Provider Participation Agreement?
A: The CDA7013 Cbas Temporary Alternative Services Provider Participation Agreement is a document that outlines the terms and conditions for a temporary alternative services provider to participate in the California Children's Services (CCS) program.

Q: What is the purpose of the agreement?
A: The purpose of the agreement is to establish the terms and conditions under which a temporary alternative services provider can provide services to CCS program beneficiaries in California.

Q: Who is this agreement for?
A: This agreement is for temporary alternative services providers who want to participate in the California Children's Services (CCS) program.

Q: What is the CCS program?
A: The California Children's Services (CCS) program is a state-funded program that provides medical care and services to children with certain eligible medical conditions.

Q: What are temporary alternative services providers?
A: Temporary alternative services providers are healthcare providers who can temporarily provide services to CCS program beneficiaries when the regular provider is unavailable.

Q: What are some key provisions of the agreement?
A: The agreement typically includes provisions related to eligibility and enrollment, services to be provided, billing and payment, termination, and compliance with program requirements.

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Form Details:

  • Released on April 1, 2020;
  • The latest edition provided by the California Department of Aging;
  • 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 CDA7013 by clicking the link below or browse more documents and templates provided by the California Department of Aging.

Download Form CDA7013 Cbas Temporary Alternative Services Provider Participation Agreement - California

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