This is a legal form that was released by the Oregon Health Authority - a government authority operating within Oregon.
The document is provided in Chinese. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form OHP3263A?
A: Form OHP3263A is the Approval Notice for Temporary Oregon Health Plan Coverage.
Q: What does Form OHP3263A indicate?
A: Form OHP3263A indicates the approval of temporary coverage under the Oregon Health Plan.
Q: Who is eligible for temporary Oregon Health Plan coverage?
A: Individuals who meet the eligibility requirements for the Oregon Health Plan may be eligible for temporary coverage.
Q: What does the approval notice provide?
A: The approval notice provides information regarding the duration of the temporary coverage and any applicable renewal or expiration dates.
Q: What should I do if I receive Form OHP3263A?
A: If you receive Form OHP3263A, carefully review the information provided, including the coverage period and renewal dates. Contact the appropriate authorities with any questions or concerns.
Form Details:
Download a fillable version of Form OHP3263A by clicking the link below or browse more documents and templates provided by the Oregon Health Authority.