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Form DHCS4431 Chdp Telecommunications Provider and Biller Application / Agreement - California
What Is Form DHCS4431?
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 Form DHCS4431?A: Form DHCS4431 is the Chdp Telecommunications Provider and Biller Application/Agreement used in California.
Q: What is Chdp?A: Chdp stands for child health and disability prevention program.
Q: Who uses Form DHCS4431?A: Telecommunications providers and billers in California use Form DHCS4431.
Q: What is the purpose of Form DHCS4431?A: The purpose of Form DHCS4431 is to apply to become a telecommunications provider and biller for the Chdp program in California.
Form Details:
- Released on February 1, 2012;
- 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 DHCS4431 by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the California Department of Health Care Services.
Download Form DHCS4431 Chdp Telecommunications Provider and Biller Application / Agreement - California
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