Form SFN308 Medicaid and Basic Care Assistance Programs Provider Agreement - North Dakota

Form SFN308 Medicaid and Basic Care Assistance Programs Provider Agreement - North Dakota

What Is Form SFN308?

This is a legal form that was released by the North Dakota Department of Health and Human Services - a government authority operating within North Dakota. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the purpose of Form SFN308?A: Form SFN308 is a provider agreement for Medicaid and Basic Care Assistance Programs in North Dakota.

Q: Who needs to fill out Form SFN308?A: Healthcare providers who wish to participate in Medicaid and Basic Care Assistance Programs in North Dakota must fill out Form SFN308.

Q: What information is required on Form SFN308?A: Form SFN308 requires providers to provide their contact information, professional credentials, and agreement to comply with program requirements.

Q: How do I submit Form SFN308?A: You can submit Form SFN308 by mail or electronically, as specified by the North Dakota Department of Human Services.

Q: What happens after submitting Form SFN308?A: After submitting Form SFN308, your application will be reviewed by the North Dakota Department of Human Services, and if approved, you will be eligible to participate in Medicaid and Basic Care Assistance Programs.

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Form Details:

  • Released on May 1, 2005;
  • The latest edition provided by the North Dakota Department of Health and Human 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 SFN308 by clicking the link below or browse more documents and templates provided by the North Dakota Department of Health and Human Services.

Download Form SFN308 Medicaid and Basic Care Assistance Programs Provider Agreement - North Dakota

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