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Form QA FRM201A Notification to Close Provider Managed Residential Site - Delaware
What Is Form QA FRM201A?
This is a legal form that was released by the Delaware Health and Social Services - a government authority operating within Delaware. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the purpose of the FRM201A Notification?
A: The FRM201A Notification is used to close a Provider Managed Residential Site in Delaware.
Q: Who can use the FRM201A Notification?
A: The FRM201A Notification can be used by providers of managed residential sites in Delaware.
Q: What information is required on the FRM201A Notification?
A: The FRM201A Notification requires information about the provider, the site to be closed, and the reason for closure.
Q: How should the FRM201A Notification be submitted?
A: The FRM201A Notification should be submitted to the Division of Medicaid and Medical Assistance.
Q: Is there a deadline for submitting the FRM201A Notification?
A: Yes, the FRM201A Notification should be submitted at least 180 days prior to the planned closure date.
Q: What happens after the FRM201A Notification is submitted?
A: After the FRM201A Notification is submitted, the Division of Medicaid and Medical Assistance will review the request and contact the provider for any additional information or clarification.
Q: Is there a fee for submitting the FRM201A Notification?
A: No, there is no fee for submitting the FRM201A Notification.
Q: Are there any consequences for not submitting the FRM201A Notification?
A: Failure to submit the FRM201A Notification may result in penalties or non-payment of services.
Form Details:
- Released on October 4, 2022;
- The latest edition provided by the Delaware Health and Social 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 QA FRM201A by clicking the link below or browse more documents and templates provided by the Delaware Health and Social Services.
