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Form DHCS9086 California Children's Services Maintenance and / or Transportation Authorization - California
What Is Form DHCS9086?
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 DHCS9086?A: DHCS9086 is a form used for requesting maintenance and/or transportation authorization for the California Children's Services program.
Q: What is the California Children's Services program?A: The California Children's Services (CCS) program provides specialized medical care and treatment for children with certain eligible medical conditions.
Q: Who can use the DHCS9086 form?A: Healthcare providers who are enrolled in the CCS program can use the DHCS9086 form to request maintenance and/or transportation authorization for their eligible patients.
Q: What is maintenance authorization?A: Maintenance authorization refers to the approval for ongoing medical care and treatment services, such as prescription medications, medical supplies, and equipment.
Q: What is transportation authorization?A: Transportation authorization refers to the approval for transportation services to help children travel to and from medical appointments related to their eligible medical conditions.
Q: What information is required on the DHCS9086 form?A: The DHCS9086 form requires information such as the patient's name, CCS client identification number, healthcare provider's information, medical diagnosis, requested services, and supporting documentation.
Q: How long does it take to process a DHCS9086 form?A: The processing time for a DHCS9086 form varies, but it typically takes a few weeks to receive a decision on the authorization request.
Q: Is there a cost associated with the DHCS9086 form?A: No, there is no cost to submit the DHCS9086 form or to request maintenance and/or transportation authorization through the CCS program.
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;
- Available in Spanish;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form DHCS9086 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.
