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Epd Waiver Transfer Form - Washington, D.C.
Epd Waiver Transfer Form is a legal document that was released by the Washington DC Department of Health Care Finance - a government authority operating within Washington, D.C..
FAQ
Q: What is an EPD Waiver Transfer Form?A: The EPD Waiver Transfer Form is a document used in Washington, D.C. to transfer an EPD (End-Stage Renal Disease) Waiver.
Q: What is an EPD Waiver?A: An EPD Waiver is a program in Washington, D.C. that provides Medicaid coverage to individuals with End-Stage Renal Disease.
Q: Who needs to use the EPD Waiver Transfer Form?A: The EPD Waiver Transfer Form is used by individuals who are currently enrolled in the EPD Waiver program and wish to transfer their coverage to a different provider or plan.
Q: Is there a fee to submit the EPD Waiver Transfer Form?A: No, there is no fee to submit the EPD Waiver Transfer Form.
Q: Can I transfer my EPD Waiver coverage to a provider in a different state?A: No, the EPD Waiver program is specific to Washington, D.C. and cannot be transferred to a provider in a different state.
Form Details:
- Released on February 3, 2016;
- The latest edition currently provided by the Washington DC Department of Health Care Finance;
- 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 Washington DC Department of Health Care Finance.
Download Epd Waiver Transfer Form - Washington, D.C.
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