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Form HCA13-714 Pharmacy Statement (525-106) - Washington
What Is Form HCA13-714?
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 Form HCA13-714 Pharmacy Statement?
A: Form HCA13-714 Pharmacy Statement is a document used in the state of Washington to report pharmacy services provided to Medicaid clients.
Q: Who uses Form HCA13-714 Pharmacy Statement?
A: Pharmacies use Form HCA13-714 Pharmacy Statement to report pharmacy services provided to Medicaid clients.
Q: Is Form HCA13-714 Pharmacy Statement specific to Washington?
A: Yes, Form HCA13-714 Pharmacy Statement is specific to the state of Washington.
Q: What is the purpose of Form HCA13-714 Pharmacy Statement?
A: The purpose of Form HCA13-714 Pharmacy Statement is to accurately report pharmacy services provided to Medicaid clients in Washington.
Q: Are there any instructions for completing Form HCA13-714 Pharmacy Statement?
A: Yes, detailed instructions for completing Form HCA13-714 Pharmacy Statement are provided by the Washington State Health Care Authority (HCA).
Q: Is Form HCA13-714 Pharmacy Statement mandatory for pharmacies in Washington?
A: Yes, pharmacies in Washington are required to submit Form HCA13-714 Pharmacy Statement for reporting pharmacy services provided to Medicaid clients.
Q: Are there any deadlines for submitting Form HCA13-714 Pharmacy Statement?
A: Yes, specific deadlines for submitting Form HCA13-714 Pharmacy Statement are set by the Washington State Health Care Authority (HCA).
Q: What information is required on Form HCA13-714 Pharmacy Statement?
A: Form HCA13-714 Pharmacy Statement requires information such as pharmacy details, client information, prescription details, and payment information.
Q: What should I do if I have questions about Form HCA13-714 Pharmacy Statement?
A: If you have questions about Form HCA13-714 Pharmacy Statement, you should contact the Washington State Health Care Authority (HCA) or refer to the provided instructions.
Form Details:
- Released on December 1, 2016;
- 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 printable version of Form HCA13-714 by clicking the link below or browse more documents and templates provided by the Washington State Health Care Authority.
