This version of the form is not currently in use and is provided for reference only. Download this version of DSHS Form 27-143 for the current year.
This is a legal form that was released by the Washington State Department of Social and Health Services - 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 DSHS Form 27-143?
A: DSHS Form 27-143 is a form used by the Washington State Department of Social and Health Services.
Q: What is the Csd Abd Program?
A: The Csd Abd Program is a program by the Washington State Department of Social and Health Services that provides medical assistance to individuals with disabilities.
Q: What is a Medical Evidence Review Contractor?
A: A Medical Evidence Review Contractor is a third-party organization contracted by the Washington State Department of Social and Health Services to review medical evidence submitted by individuals applying for the Csd Abd Program.
Q: What is the Self-assessment Monitoring Tool?
A: The Self-assessment Monitoring Tool is a form (DSHS Form 27-143) used by Medical Evidence Review Contractors to assess their own performance and adherence to program requirements.
Q: Who uses the Self-assessment Monitoring Tool?
A: Medical Evidence Review Contractors use the Self-assessment Monitoring Tool to assess their own performance.
Q: What is the purpose of the Self-assessment Monitoring Tool?
A: The purpose of the Self-assessment Monitoring Tool is to ensure that Medical Evidence Review Contractors are meeting the necessary requirements and providing quality services in the Csd Abd Program.
Q: Is the Self-assessment Monitoring Tool mandatory?
A: Yes, the Self-assessment Monitoring Tool is mandatory for Medical Evidence Review Contractors.
Q: What happens if a Medical Evidence Review Contractor fails the self-assessment?
A: If a Medical Evidence Review Contractor fails the self-assessment, they may be subject to further review or corrective actions by the Washington State Department of Social and Health Services.
Form Details:
Download a printable version of DSHS Form 27-143 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.