CPC-Hie Substance Use Disorder Attestation Form - Washington, D.C.

CPC-Hie Substance Use Disorder Attestation Form - Washington, D.C.

CPC-Hie Substance Use Disorder Attestation Form is a legal document that was released by the Washington DC Department of Health Care Finance - a government authority operating within Washington, D.C..

FAQ

Q: What is the CPC-Hie Substance Use Disorder Attestation Form?
A: The CPC-Hie Substance Use Disorder Attestation Form is a form used in Washington, D.C. to attest that a healthcare provider is compliant with the requirements for sharing patient information related to substance use disorder treatment.

Q: Who needs to fill out the CPC-Hie Substance Use Disorder Attestation Form?
A: Healthcare providers in Washington, D.C. who provide treatment for substance use disorder need to fill out the form.

Q: What does the CPC-Hie Substance Use Disorder Attestation Form attest?
A: The form attests that the healthcare provider is compliant with the requirements outlined in the Comprehensive Primary Care Plus (CPC+) model and the Health Information Exchange (Hie) Substance Use Disorder Consent Policy.

Q: Is there a fee to submit the CPC-Hie Substance Use Disorder Attestation Form?
A: No, there is no fee to submit the form.

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Form Details:

  • The latest edition currently provided by the Washington DC Department of Health Care Finance;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Washington DC Department of Health Care Finance.

Download CPC-Hie Substance Use Disorder Attestation Form - Washington, D.C.

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