PDF
Word
This version of the form is not currently in use and is provided for reference only. Download this version of
Form CERT-46
for the current year.
Form CERT-46 Care Coordination Agency Certification Conflict of Interest Attestation - Alaska
What Is Form CERT-46?
This is a legal form that was released by the Alaska Department of Health and Social Services - a government authority operating within Alaska. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the CERT-46 Care Coordination Agency Certification Conflict of Interest Attestation?A: The CERT-46 Care Coordination Agency Certification Conflict of Interest Attestation is a form required in Alaska for care coordination agencies to disclose any potential conflicts of interest.
Q: Who needs to complete the CERT-46 form?A: Care coordination agencies in Alaska need to complete the CERT-46 form.
Q: What is the purpose of the form?A: The purpose of the form is to ensure transparency and prevent any potential conflicts of interest in care coordination agencies.
Q: Are there any fees associated with the CERT-46 form?A: There are no fees associated with the CERT-46 form.
Form Details:
- Released on February 14, 2020;
- The latest edition provided by the Alaska Department of Health and Social 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 CERT-46 by clicking the link below or browse more documents and templates provided by the Alaska Department of Health and Social Services.
