This is a legal form that was released by the California Department of Health Care Services - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is DHCS1012 Program Flexibility Form?
A: DHCS1012 Program Flexibility Form is a form specific to the state of California that allows Mental HealthRehabilitation Centers to request program or service changes.
Q: What is the purpose of DHCS1012 Program Flexibility Form?
A: The purpose of the DHCS1012 Program Flexibility Form is to provide a way for Mental Health Rehabilitation Centers to request changes to their programs or services.
Q: Who can use DHCS1012 Program Flexibility Form?
A: Mental Health Rehabilitation Centers in California can use the DHCS1012 Program Flexibility Form.
Q: Is DHCS1012 Program Flexibility Form mandatory?
A: Yes, DHCS1012 Program Flexibility Form is mandatory for Mental Health Rehabilitation Centers in California if they want to request program or service changes.
Form Details:
Download a fillable version of Form DHCS1012 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.