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Form OHP3262 Declaration of Intent and Agreement to Serve as a Hospital Presumptive Eligibility Site - Oregon
What Is Form OHP3262?
This is a legal form that was released by the Oregon Health Authority - a government authority operating within Oregon. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is OHP3262 Declaration of Intent and Agreement to Serve as a Hospital Presumptive Eligibility Site?A: OHP3262 is a form used in Oregon for hospitals to declare their intent and agreement to serve as a Presumptive Eligibility Site for the Oregon Health Plan.
Q: What is the purpose of the form OHP3262?A: The purpose of form OHP3262 is for hospitals in Oregon to express their intent to participate in the Presumptive Eligibility Program for the Oregon Health Plan.
Q: What is the Presumptive Eligibility Program for the Oregon Health Plan?A: The Presumptive Eligibility Program allows hospitals in Oregon to provide temporary coverage for certain individuals who may be eligible for the Oregon Health Plan while their full application is being processed.
Q: Who needs to fill out the OHP3262 form?A: Hospitals in Oregon who wish to participate in the Presumptive Eligibility Program for the Oregon Health Plan need to fill out the OHP3262 form.
Form Details:
- Released on September 1, 2019;
- The latest edition provided by the Oregon Health 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 fillable version of Form OHP3262 by clicking the link below or browse more documents and templates provided by the Oregon Health Authority.
Download Form OHP3262 Declaration of Intent and Agreement to Serve as a Hospital Presumptive Eligibility Site - Oregon
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