Form HCA09-015 Residential Substance Use Treatment 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 a HCA09-015 Residential Substance Use Treatment Provider Agreement?
A: The HCA09-015 Residential Substance Use Treatment Provider Agreement is a form used in Washington for providers of residential substance use treatment services.

Q: What is the purpose of the HCA09-015 Residential Substance Use Treatment Provider Agreement?
A: The purpose of the agreement is to establish the terms and conditions under which a provider will deliver residential substance use treatment services and be reimbursed by the state.

Q: Who uses the HCA09-015 Residential Substance Use Treatment Provider Agreement?
A: This agreement is used by providers of residential substance use treatment services in Washington, as well as the state agency responsible for reimbursement and oversight.

Q: What information is included in the HCA09-015 Residential Substance Use Treatment Provider Agreement?
A: The agreement includes information such as the provider's contact information, services to be provided, payment rates, billing procedures, and compliance requirements.

Q: How is the HCA09-015 Residential Substance Use Treatment Provider Agreement completed?
A: The agreement is completed by the provider and the state agency responsible for reimbursement and oversight. It requires signatures from both parties to be valid.