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.
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).
Form Details:
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.