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Form SFN1296 Contract to Provide Primary Care Case Management Services - North Dakota
What Is Form SFN1296?
This is a legal form that was released by the North Dakota Department of Health and Human Services - a government authority operating within North Dakota. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is SFN1296?
A: SFN1296 is a standardized form used in North Dakota to contract primary care case management services.
Q: What are Primary Care Case Management services?
A: Primary Care Case Management services refer to the coordination and management of healthcare services for individuals, particularly those with chronic illnesses or complex medical needs.
Q: Who can provide Primary Care Case Management services?
A: Qualified healthcare providers, organizations, or entities can provide Primary Care Case Management services.
Q: What is the purpose of form SFN1296?
A: Form SFN1296 is used by North Dakota to establish a written agreement between the state and providers for the provision of Primary Care Case Management services.
Form Details:
- Released on February 1, 2022;
- The latest edition provided by the North Dakota Department of Health and Human 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 fillable version of Form SFN1296 by clicking the link below or browse more documents and templates provided by the North Dakota Department of Health and Human Services.
Download Form SFN1296 Contract to Provide Primary Care Case Management Services - North Dakota
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