Form HCA13-0017 Attestation for Collaborative Care Model (Cocm) - Washington

Form HCA13-0017 Attestation for Collaborative Care Model (Cocm) - Washington

What Is Form HCA13-0017?

This is a legal form that was released by the Washington State Health Care Authority - 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 Form HCA13-0017?
A: Form HCA13-0017 is the Attestation for Collaborative Care Model (CoCM) in Washington.

Q: What is the purpose of Form HCA13-0017?
A: The purpose of Form HCA13-0017 is to attest to the implementation of the Collaborative Care Model (CoCM).

Q: Who needs to fill out Form HCA13-0017?
A: Providers who are implementing the Collaborative Care Model (CoCM) in Washington need to fill out Form HCA13-0017.

Q: What is the Collaborative Care Model (CoCM)?
A: The Collaborative Care Model (CoCM) is an evidence-based approach to mental health care that involves a primary care provider, care manager, and psychiatric consultant working together to provide integrated care.

Q: Are there any fees for submitting Form HCA13-0017?
A: There are no fees for submitting Form HCA13-0017.

Q: When is the deadline for submitting Form HCA13-0017?
A: The deadline for submitting Form HCA13-0017 varies and is typically specified by the Washington State Health Care Authority (HCA).

Q: What are the consequences of not submitting Form HCA13-0017?
A: Failure to submit Form HCA13-0017 may result in non-compliance with Washington state requirements for implementing the Collaborative Care Model (CoCM).

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Form Details:

  • Released on May 1, 2021;
  • The latest edition provided by the Washington State Health Care Authority;
  • 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 HCA13-0017 by clicking the link below or browse more documents and templates provided by the Washington State Health Care Authority.

Download Form HCA13-0017 Attestation for Collaborative Care Model (Cocm) - Washington

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