Form preview

Get the free Care1st Health Plan Direct Contract Providers - CLAS Department Materials Order Form

Get Form
This document serves as an order form for Care1st Health Plan's Cultural and Linguistic Appropriate Services (CLAS) materials. It allows providers to request educational materials in various languages
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign care1st health plan direct

Edit
Edit your care1st health plan direct form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your care1st health plan direct form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing care1st health plan direct online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Use the instructions below to start using our professional PDF editor:
1
Check your account. In case you're new, it's time to start your free trial.
2
Prepare a file. Use the Add New button. Then upload your file to the system from your device, importing it from internal mail, the cloud, or by adding its URL.
3
Edit care1st health plan direct. Rearrange and rotate pages, insert new and alter existing texts, add new objects, and take advantage of other helpful tools. Click Done to apply changes and return to your Dashboard. Go to the Documents tab to access merging, splitting, locking, or unlocking functions.
4
Save your file. Choose it from the list of records. Then, shift the pointer to the right toolbar and select one of the several exporting methods: save it in multiple formats, download it as a PDF, email it, or save it to the cloud.
With pdfFiller, it's always easy to deal with documents.

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out care1st health plan direct

Illustration

How to fill out Care1st Health Plan Direct Contract Providers - CLAS Department Materials Order Form

01
Begin by downloading the Care1st Health Plan Direct Contract Providers - CLAS Department Materials Order Form from the official website.
02
Fill in your organization's name and address at the top of the form.
03
Specify the contact person’s name, phone number, and email address for any follow-up questions.
04
Indicate the quantity of materials you wish to order from the available options listed on the form.
05
Include any specific details or requests in the designated comments section.
06
Review the completed form for accuracy and completeness.
07
Submit the form through the designated submission method provided (email, mail, etc.).

Who needs Care1st Health Plan Direct Contract Providers - CLAS Department Materials Order Form?

01
Healthcare providers contracted with Care1st Health Plan who require CLAS materials for their practice.
02
Organizations that serve diverse populations and need resources for culturally and linguistically appropriate services.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.0
Satisfied
27 Votes

People Also Ask about

Care1st Health Plan Arizona provides Medicaid services to families, children, seniors, and individuals with complex medical needs serving northern Arizona, including serving as the Regional Behavioral Health Authority and crisis system operator for northern Arizona.
The Arizona Health Care Cost Containment System (AHCCCS) is Arizona's Medicaid agency that offers health care programs to serve Arizona residents. AHCCCS provides medical insurance coverage to thousands of Arizonans each year, for which DES provides eligibility services.
Care1st Health Plan Arizona and Wellcare are wholly owned subsidiaries of Centene Corporation. Centene Corporation is a leading healthcare enterprise committed to helping people live healthier lives.
AHCCCS is Medicaid, not Medicare. While both programs provide essential healthcare coverage, they serve different populations and have different eligibility requirements. AHCCCS targets low-income individuals and families, whereas Medicare is aimed at older adults and people with specific disabilities.
Medicaid Plan Arizona Complete Health-Complete Care Plan.

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

The Care1st Health Plan Direct Contract Providers - CLAS Department Materials Order Form is a document used by direct contract providers to request materials related to cultural and linguistic services offered by Care1st Health Plan.
Direct contract providers who need to access cultural and linguistic services materials from Care1st Health Plan are required to file this order form.
To fill out the form, providers must provide their contact information, specify the materials requested, and detail the purpose for which the materials will be used.
The purpose of the form is to facilitate the distribution of cultural and linguistic services materials to direct contract providers, ensuring they have the resources needed to support diverse patient populations.
The form requires providers to report their name, contact information, the specific materials they are requesting, the intended use of the materials, and any other relevant details to process the request.
Fill out your care1st health plan direct online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.