Form DHCS9098 Medi-Cal Provider Agreement (Institutional Provider) - California

Form DHCS9098 Medi-Cal Provider Agreement (Institutional Provider) - California

What Is Form DHCS9098?

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 DHCS9098 Medi-Cal Provider Agreement?
A: The DHCS9098 Medi-Cal Provider Agreement is a contractual agreement between a provider and the California Department of Health Care Services (DHCS) to participate in the Medi-Cal program as an institutional provider.

Q: Who needs to complete the DHCS9098 Medi-Cal Provider Agreement?
A: Institutional healthcare providers in California who want to participate in the Medi-Cal program need to complete the DHCS9098 Medi-Cal Provider Agreement.

Q: What is the purpose of the DHCS9098 Medi-Cal Provider Agreement?
A: The purpose of the DHCS9098 Medi-Cal Provider Agreement is to establish the terms and conditions under which a provider will furnish services to Medi-Cal beneficiaries and receive reimbursement from the Medi-Cal program.

Q: What information is required to complete the DHCS9098 Medi-Cal Provider Agreement?
A: The DHCS9098 Medi-Cal Provider Agreement requires providers to provide information about their organization, services provided, billing practices, and compliance with applicable laws and regulations.

Q: Are there any fees associated with the DHCS9098 Medi-Cal Provider Agreement?
A: There are no fees associated with completing the DHCS9098 Medi-Cal Provider Agreement. However, providers may be subject to other fees and costs related to participating in the Medi-Cal program.

Q: Who should I contact if I need assistance completing the DHCS9098 Medi-Cal Provider Agreement?
A: If you need assistance completing the DHCS9098 Medi-Cal Provider Agreement, you can contact the California Department of Health Care Services (DHCS) directly or reach out to your local Medi-Cal field office.

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Form Details:

  • Released on July 1, 2017;
  • 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 DHCS9098 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.

Download Form DHCS9098 Medi-Cal Provider Agreement (Institutional Provider) - California

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