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Form KDEME05 Request for Medicaid Sbhs Certification Amendment - Kentucky
What Is Form KDEME05?
This is a legal form that was released by the Kentucky Department of Education - a government authority operating within Kentucky. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the KDEME05 form for?A: The KDEME05 form is used to request a Medicaid SBHS certification amendment in Kentucky.
Q: What does SBHS stand for?A: SBHS stands for School-Based Health Services.
Q: Who can use the KDEME05 form?A: Providers of School-Based Health Services in Kentucky can use the KDEME05 form.
Q: How do I request a Medicaid SBHS certification amendment?A: You can request a Medicaid SBHS certification amendment by completing the KDEME05 form and submitting it to the appropriate agency.
Form Details:
- Released on October 26, 2020;
- The latest edition provided by the Kentucky Department of Education;
- 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 printable version of Form KDEME05 by clicking the link below or browse more documents and templates provided by the Kentucky Department of Education.
Download Form KDEME05 Request for Medicaid Sbhs Certification Amendment - Kentucky
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