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Get the free REVISED GOOD CAUSE CERTIFICATION FORMS FOR SUBMISSION - dhcs ca

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This document provides updated Good Cause Certification forms and instructions for submission of Drug Medi-Cal claims, detailing requirements based on specific Delay Reason Codes.
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Revised good cause certification refers to an updated document submitted to certify the legitimate reason or justification for a particular action or circumstance.
Entities or individuals who need to prove a valid reason for their actions or circumstances are required to file a revised good cause certification.
To fill out a revised good cause certification, one must provide relevant information and details supporting their claim or justification.
The purpose of revised good cause certification is to justify and provide evidence for actions or circumstances that require a legitimate reason.
Revised good cause certification must include all necessary information and documentation that supports the claim or justification for a particular action or circumstance.
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