Form QA FRM201A Notification to Close Provider Managed Residential Site - Delaware

What Is Form QA FRM201A?

This is a legal form that was released by the Delaware Health and Social Services - a government authority operating within Delaware. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the purpose of the FRM201A Notification?A: The FRM201A Notification is used to close a Provider Managed Residential Site in Delaware.

Q: Who can use the FRM201A Notification?A: The FRM201A Notification can be used by providers of managed residential sites in Delaware.

Q: What information is required on the FRM201A Notification?A: The FRM201A Notification requires information about the provider, the site to be closed, and the reason for closure.

Q: How should the FRM201A Notification be submitted?A: The FRM201A Notification should be submitted to the Division of Medicaid and Medical Assistance.

Q: Is there a deadline for submitting the FRM201A Notification?A: Yes, the FRM201A Notification should be submitted at least 180 days prior to the planned closure date.

Q: What happens after the FRM201A Notification is submitted?A: After the FRM201A Notification is submitted, the Division of Medicaid and Medical Assistance will review the request and contact the provider for any additional information or clarification.

Q: Is there a fee for submitting the FRM201A Notification?A: No, there is no fee for submitting the FRM201A Notification.

Q: Are there any consequences for not submitting the FRM201A Notification?A: Failure to submit the FRM201A Notification may result in penalties or non-payment of services.