PDF
Word
Instructions for Form ODM03517 Healthchek Services Implementation Plan - Ohio
This document contains official instructions for Form ODM03517 , Healthchek Services Implementation Plan - a form released and collected by the Ohio Department of Medicaid.
FAQ
Q: What is Form ODM03517?A: Form ODM03517 is the Healthchek Services Implementation Plan for Ohio.
Q: What is Healthchek?A: Healthchek is a program in Ohio that provides comprehensive preventative health care services for children under the age of 21 who are enrolled in Medicaid.
Q: Who should complete Form ODM03517?A: Form ODM03517 should be completed by healthcare providers or contractors who are responsible for the implementation of Healthchek services in Ohio.
Q: What is the purpose of Form ODM03517?A: The purpose of Form ODM03517 is to outline the implementation plan for Healthchek services in Ohio, including the goals, strategies, and timelines.
Q: Is completing Form ODM03517 mandatory?A: Yes, completing Form ODM03517 is mandatory for healthcare providers or contractors responsible for implementing Healthchek services in Ohio.
Q: What information is required on Form ODM03517?A: Form ODM03517 requires information such as the provider's name and contact information, implementation goals and strategies, timeline for implementation, and evaluation methods.
Q: Are there any deadlines for submitting Form ODM03517?A: The deadline for submitting Form ODM03517 may vary, so it is important to check the specific requirements from the Ohio Department of Medicaid or the appropriate Medicaid office.
Q: Who should I contact for assistance with completing Form ODM03517?A: For assistance with completing Form ODM03517, you can contact the Ohio Department of Medicaid or the appropriate Medicaid office for guidance and support.
Q: Can Form ODM03517 be submitted electronically?A: Yes, in most cases, Form ODM03517 can be submitted electronically, but it is recommended to check the specific requirements from the Ohio Department of Medicaid or the appropriate Medicaid office.
Instruction Details:
- This 4-page document is available for download in PDF;
- Actual and applicable for the current year;
- Complete, printable, and free.
Download your copy of the instructions by clicking the link below or browse hundreds of other forms in our library of forms released by the Ohio Department of Medicaid.
1
2
3
4
