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Este formulario es obligatorio para completar y enviar el pago del Cuota de Aseguramiento de Calidad (QAF) para las instalaciones de atención intermedia designadas durante el segundo trimestre del
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How to fill out DHCS 9085

01
Obtain a blank DHCS 9085 form from the appropriate source.
02
Fill in the participant's name and identification details in the designated sections.
03
Provide information about the services being requested, if applicable.
04
Include any necessary personal or medical information that is relevant.
05
Review the completed form for accuracy and completeness.
06
Sign and date the form as required.
07
Submit the form to the appropriate agency or department as instructed.

Who needs DHCS 9085?

01
Individuals seeking Medi-Cal benefits.
02
Healthcare providers assisting patients with Medi-Cal applications.
03
Organizations helping individuals apply for healthcare services covered by Medi-Cal.
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Dr. Erica Pan Appointed Next CDPH Director and State Public Health Officer​ Sacramento – As announced earlier today​ by Governor Gavin Newsom, Dr. Erica Pan will become the next Director and State Public Health Officer of the Californ​ia Department of Public Health (CDPH) on February 1.
The California Department of Health Care Services (DHCS) is the backbone of California's health care safety net, helping millions of Californians every day.
It was formerly known as the California Department of Health Services, which was reorganized in 2007 into the DHCS and the California Department of Public Health.
DHCS is the single state agency responsible for financing and administering the state's Medicaid program, Medi-Cal, which provides health care services to low-income persons and families who meet defined eligibility requirements. Medi-Cal is authorized and funded through a federal-state partnership.
The Department of Health Care Services (DHCS), Benefits Division (BD) is responsible for developing, implementing, and overseeing Medi-Cal medical coverage policy for most health care services provided by California's federal Medicaid program (called Medi-Cal), which includes both the fee-for-service (FFS) and managed
Hospital Quality Assurance Fee Program.
The California Department of Public Health (CDPH) works to protect the public's health and shape positive health outcomes for individuals, families and communities.

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DHCS 9085 is a form used by the California Department of Health Care Services for reporting financial and operational data from Medi-Cal providers.
Medi-Cal providers, including hospitals, nursing facilities, and various health care service providers, are required to file DHCS 9085.
To fill out DHCS 9085, providers must gather relevant financial and operational data and complete the form according to the guidelines provided by the Department of Health Care Services.
The purpose of DHCS 9085 is to collect necessary information that helps the Department of Health Care Services monitor compliance with Medi-Cal regulations and assess the financial status of providers.
Information that must be reported on DHCS 9085 includes provider financial data, service statistics, patient demographics, and any other information as specified in the form instructions.
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