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Form DHCS3088 Instructions - Medi-Cal Worksheets Electronic Submission Protocol Fqhc / Rhc / Ihs / Moa Providers and Fqhc / Rhc Home Offices - California
What Is Form DHCS3088?
This is a legal form that was released by the California Department of Health Care Services - 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 DHCS3088?
A: DHCS3088 is a form used for Medi-Cal Worksheets Electronic submission.
Q: Who does the form apply to?
A: The form applies to FQHC/RHC/IHS/MOA providers and FQHC/RHC home offices in California.
Q: What is the purpose of the form?
A: The form outlines the electronic submission protocol for Medi-Cal worksheets for the mentioned providers and home offices.
Q: What does FQHC stand for?
A: FQHC stands for Federally Qualified Health Center.
Q: What does RHC stand for?
A: RHC stands for Rural Health Center.
Q: What does IHS stand for?
A: IHS stands for Indian Health Service.
Q: What does MOA stand for?
A: MOA stands for Medicare/Medi-Cal Crossover Only.
Form Details:
- Released on September 1, 2021;
- The latest edition provided by the California Department of Health Care Services;
- 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 DHCS3088 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.
Download Form DHCS3088 Instructions - Medi-Cal Worksheets Electronic Submission Protocol Fqhc / Rhc / Ihs / Moa Providers and Fqhc / Rhc Home Offices - California
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