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Form HCA09-015 Core Provider Agreement - Washington
What Is Form HCA09-015?
This is a legal form that was released by the Washington State Health Care Authority - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form HCA09-015?
A: Form HCA09-015 is a Core Provider Agreement for healthcare providers in Washington.
Q: Who needs to use Form HCA09-015?
A: Healthcare providers in Washington who want to participate in state-administered healthcare programs need to use Form HCA09-015.
Q: What is the purpose of Form HCA09-015?
A: The purpose of Form HCA09-015 is to establish an agreement between healthcare providers and the state for participation in healthcare programs.
Q: Is Form HCA09-015 mandatory?
A: Yes, healthcare providers who want to participate in state-administered healthcare programs must submit Form HCA09-015.
Q: What information is required in Form HCA09-015?
A: Form HCA09-015 requires information such as provider details, program participation options, billing and reimbursement terms, and compliance with program requirements.
Form Details:
- Released on April 1, 2017;
- The latest edition provided by the Washington State Health Care Authority;
- 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 HCA09-015 by clicking the link below or browse more documents and templates provided by the Washington State Health Care Authority.
Download Form HCA09-015 Core Provider Agreement - Washington
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