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BEFORE THE OFFICE OF FAIR HEARINGS MONTANA DEPARTMENT OF PUBLIC HEALTH AND HUMAN SERVICES In the Matter of the Supplemental Nutrition Assistance Program and Temporary Assistance for Needy Families
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What is dphhs hcs 130 form?
The DPHHS HCS 130 form is a document used in the state of Montana for reporting specific health care service information.
Who is required to file dphhs hcs 130 form?
Providers of health care services in Montana who receive state funding or are part of health programs are typically required to file the DPHHS HCS 130 form.
How to fill out dphhs hcs 130 form?
To fill out the DPHHS HCS 130 form, individuals should provide accurate information in specified sections, including details about services provided, dates, and patient information as required by the form's instructions.
What is the purpose of dphhs hcs 130 form?
The purpose of the DPHHS HCS 130 form is to collect data on health care services provided to ensure accountability and compliance with state health regulations.
What information must be reported on dphhs hcs 130 form?
The information that must be reported includes the type of services provided, dates of service, patient demographics, and any relevant billing information as required by the form.
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