Get the free dhcs 9116 form 2018 - dhcs ca
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State of California Health and Human Services Agency Department of Health Care Services Freestanding Nursing Facility, Level-B (FS/NF-B) and Freestanding Subacute Nursing Facility, Level-B (FSA/NF-B)
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What is dhcs 9116 form?
The dhcs 9116 form is a document required by the Department of Health Care Services (DHCS) in California. It is used to report information about facilities, services, and programs related to health care.
Who is required to file dhcs 9116 form?
Health care facilities, providers, and organizations in California are required to file the dhcs 9116 form. This includes hospitals, clinics, nursing homes, home health agencies, and other entities involved in health care services.
How to fill out dhcs 9116 form?
To fill out the dhcs 9116 form, you will need to provide information about your facility or organization, such as its name, address, and license number. You will also need to report details about the services you offer, the number of patients served, and any changes to your operations. The form can be filled out electronically or on paper, following the instructions provided by DHCS.
What is the purpose of dhcs 9116 form?
The purpose of the dhcs 9116 form is to collect important data and information about health care facilities and services in California. It helps DHCS monitor and regulate the health care system, ensure compliance with regulations, and make informed decisions for health care planning and improvement.
What information must be reported on dhcs 9116 form?
The dhcs 9116 form requires the reporting of various information, including the facility name and address, license number, services provided, patient demographics, staffing details, financial information, and any changes or updates to the facility or organization. Specific data elements and reporting requirements can be found in the instructions provided with the form.
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