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Form ODM10178 Individual in Specialized Recovery Services Program Agreement and Responsibilities - Ohio
What Is Form ODM10178?
This is a legal form that was released by the Ohio Department of Medicaid - a government authority operating within Ohio. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the Form ODM10178?
A: Form ODM10178 is the Individual in Specialized Recovery Services Program Agreement and Responsibilities.
Q: What is the purpose of the Form ODM10178?
A: The purpose of the Form ODM10178 is to outline the agreement and responsibilities for individuals participating in the Specialized Recovery Services Program in Ohio.
Q: Who needs to fill out the Form ODM10178?
A: Individuals who are participating in the Specialized Recovery Services Program in Ohio need to fill out the Form ODM10178.
Q: What does the Form ODM10178 cover?
A: The Form ODM10178 covers the agreement and responsibilities of the individual in the program, including requirements for attendance, participation, and compliance with program rules.
Q: What happens if the Form ODM10178 is not filled out?
A: If the Form ODM10178 is not filled out, the individual may not be eligible to participate in the Specialized Recovery Services Program in Ohio.
Form Details:
- Released on February 1, 2018;
- The latest edition provided by the Ohio Department of Medicaid;
- 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 ODM10178 by clicking the link below or browse more documents and templates provided by the Ohio Department of Medicaid.
