Form OHP3101 Provider Enrollment Attachment - Behavior Rehabilitation Services - Oregon

Form OHP3101 Provider Enrollment Attachment - Behavior Rehabilitation Services - Oregon

What Is Form OHP3101?

This is a legal form that was released by the Oregon Health Authority - a government authority operating within Oregon. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is form OHP3101?
A: Form OHP3101 is a provider enrollment attachment for behavior rehabilitation services in Oregon.

Q: What is behavior rehabilitation services?
A: Behavior rehabilitation services involve interventions and therapies aimed at helping individuals improve their behavior and develop new skills.

Q: Who needs to complete form OHP3101?
A: Providers who offer behavior rehabilitation services in Oregon need to complete form OHP3101 for enrollment.

Q: What information is required on form OHP3101?
A: Form OHP3101 requires providers to provide their personal information, practice details, and information about the services they offer.

Q: Is there a fee for submitting form OHP3101?
A: There is no fee for submitting form OHP3101.

Q: How long does it take to process form OHP3101?
A: The processing time for form OHP3101 may vary, but providers can expect to receive a response within a few weeks.

Q: Are there any additional documents required with form OHP3101?
A: Providers may be required to submit additional documents such as proof of qualifications or licenses.

Q: Who can I contact for more information about form OHP3101?
A: For more information about form OHP3101, providers can contact the Oregon Health Authority or refer to the instructions provided with the form.

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Form Details:

  • Released on May 1, 2016;
  • The latest edition provided by the Oregon Health 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 fillable version of Form OHP3101 by clicking the link below or browse more documents and templates provided by the Oregon Health Authority.

Download Form OHP3101 Provider Enrollment Attachment - Behavior Rehabilitation Services - Oregon

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