DSHS Form 05-255 KO Medicaid Transformation Demonstration Notice of Action Exception to Rule - Washington (Korean)

DSHS Form 05-255 KO Medicaid Transformation Demonstration Notice of Action Exception to Rule - Washington (Korean)

This is a legal form that was released by the Washington State Department of Social and Health Services - a government authority operating within Washington.

The document is provided in Korean. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is DSHS Form 05-255 KO?A: DSHS Form 05-255 KO is a form related to Medicaid Transformation Demonstration in Washington.

Q: What is the purpose of the form?A: The purpose of the form is to provide notice of action and exceptions to the rule in the Medicaid Transformation Demonstration.

Q: Who is the form for?A: The form is for individuals and families participating in the Medicaid Transformation Demonstration in Washington.

Q: What is Medicaid Transformation Demonstration?A: Medicaid Transformation Demonstration is a program in Washington aimed at improving the delivery of healthcare services for Medicaid recipients.

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Form Details:

  • Released on May 1, 2017;
  • The latest edition provided by the Washington State Department of Social and Health Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of DSHS Form 05-255 KO by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.

Download DSHS Form 05-255 KO Medicaid Transformation Demonstration Notice of Action Exception to Rule - Washington (Korean)

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  • DSHS Form 05-255 KO Medicaid Transformation Demonstration Notice of Action Exception to Rule - Washington (Korean), Page 1
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