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Form DHCS1013 Program Flexibility Form for Psychiatric Health Facility - California
What Is Form DHCS1013?
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.
FAQ
Q: What is the DHCS1013 Program Flexibility Form?
A: The DHCS1013 Program Flexibility Form is a document for Psychiatric Health Facilities in California.
Q: What is the purpose of the form?
A: The form is used to request program flexibility and modifications in the operation of a Psychiatric Health Facility.
Q: Who needs to fill out the form?
A: The form needs to be filled out by the operator or administrator of a Psychiatric Health Facility.
Q: Are there any fees for submitting the form?
A: There are no fees for submitting the DHCS1013 Program Flexibility Form.
Q: What information is required on the form?
A: The form requires information about the facility, proposed modifications, and justification for the requested flexibility.
Q: What happens after submission of the form?
A: After submission, the form will be reviewed by the Department of Health Care Services and a decision will be communicated to the facility.
Q: What if my request for program flexibility is denied?
A: If your request is denied, you may appeal the decision in accordance with the applicable laws and regulations.
Q: Can I make multiple requests on the same form?
A: Yes, you can make multiple requests on the DHCS1013 Program Flexibility Form.
Q: Is the form specific to Psychiatric Health Facilities in California?
A: Yes, the form is specific to Psychiatric Health Facilities in California.
Form Details:
- Released on December 1, 2022;
- The latest edition provided by the California Department of Health Care 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 DHCS1013 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.
