Form DHCS4481 Outpatient Infant Hearing Screening Provider Application - California

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Form DHCS4481 Outpatient Infant Hearing Screening Provider Application - California

What Is Form DHCS4481?

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 DHCS4481?
A: DHCS4481 is the application form for outpatient infant hearing screening provider in California.

Q: Who needs to fill out this form?
A: Any provider who wants to provide outpatient infant hearing screening in California needs to fill out this form.

Q: Is there a fee for submitting this application?
A: No, there is no fee for submitting the DHCS4481 application.

Q: What information is required on DHCS4481 form?
A: The DHCS4481 form requires information such as provider name, contact information, qualifications, and details of the screening equipment.

Q: Are there any specific requirements to become a provider?
A: Yes, providers must meet certain qualifications and adhere to specific guidelines set by the DHCS.

Q: How long does it take to process the application?
A: The processing time for DHCS4481 application varies, but it typically takes a few weeks to a couple of months.

Q: Can I start providing services while my application is being processed?
A: No, you cannot start providing outpatient infant hearing screening services until your application is approved by the DHCS.

Q: What should I do if I have questions or need assistance with the application?
A: If you have questions or need assistance with the DHCS4481 application, you can contact the DHCS directly for support.

Q: Is there a deadline for submitting DHCS4481?
A: There is no specific deadline for submitting DHCS4481, but it is recommended to submit the application as soon as possible to avoid delays in the approval process.

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Form Details:

  • Released on February 1, 2008;
  • 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;

Download a fillable version of Form DHCS4481 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.

Download Form DHCS4481 Outpatient Infant Hearing Screening Provider Application - California

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