DSHS Form 06-159A Specialized Evaluation and Treatment Provider Invoice - Washington

What Is DSHS Form 06-159A?

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

FAQ

Q: What is the DSHS Form 06-159A?
A: The DSHS Form 06-159A is an invoice form for specialized evaluation and treatment providers in Washington.

Q: Who uses the DSHS Form 06-159A?
A: Specialized evaluation and treatment providers in Washington use the DSHS Form 06-159A.

Q: What is the purpose of the DSHS Form 06-159A?
A: The DSHS Form 06-159A is used to submit invoices for services provided by specialized evaluation and treatment providers.

Q: What information is required on the DSHS Form 06-159A?
A: The DSHS Form 06-159A requires information such as the provider's name and address, client information, service details, and billing information.

Q: How should I submit the DSHS Form 06-159A?
A: The DSHS Form 06-159A should be submitted by mail or electronically through the Electronic Data Interchange (EDI) system.

Q: Are there any deadlines for submitting the DSHS Form 06-159A?
A: Yes, the DSHS Form 06-159A must be submitted within 95 days of the last date of service.

Q: Who should I contact if I have questions about the DSHS Form 06-159A?
A: If you have questions about the DSHS Form 06-159A, you can contact the Washington State Department of Social and Health Services (DSHS).