Medicaid Provider Enrollment Attestation Licensed Baccalaureate Social Worker - North Dakota

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Medicaid Provider Enrollment Attestation Licensed Baccalaureate Social Worker - North Dakota

Medicaid Provider Enrollment Attestation Licensed Baccalaureate Social Worker is a legal document that was released by the North Dakota Department of Health and Human Services - a government authority operating within North Dakota.

FAQ

Q: What is Medicaid Provider Enrollment Attestation?A: Medicaid Provider Enrollment Attestation is a process for licensed baccalaureate social workers in North Dakota to enroll as Medicaid providers.

Q: Who is eligible to enroll as a Medicaid provider?A: Licensed baccalaureate social workers in North Dakota are eligible to enroll as Medicaid providers.

Q: What is the purpose of Medicaid Provider Enrollment Attestation?A: The purpose of Medicaid Provider Enrollment Attestation is to allow licensed baccalaureate social workers to participate in the Medicaid program and provide services to Medicaid beneficiaries.

Q: How can licensed baccalaureate social workers in North Dakota enroll as Medicaid providers?A: Licensed baccalaureate social workers in North Dakota can enroll as Medicaid providers by completing the Medicaid Provider Enrollment Attestation process.

Q: What documentation is required for Medicaid Provider Enrollment Attestation?A: Licensed baccalaureate social workers will need to provide their professional license information and other required documentation specified in the enrollment application.

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Form Details:

  • Released on January 22, 2021;
  • The latest edition currently provided by the North Dakota Department of Health and Human Services;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the North Dakota Department of Health and Human Services.

Download Medicaid Provider Enrollment Attestation Licensed Baccalaureate Social Worker - North Dakota

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