WA HCA 13-794 2014 free printable template
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HEALTH AND RECOVERY SERVICES ADMINISTRATION (RSA) PRESCRIPTION FORM This prescription is valid for one (1) year from date signed. SECTION I PATIENT S NAME DATE OF BIRTH DIAGNOSIS LENGTH OF NEED Indicate
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How to fill out WA HCA 13-794
01
Obtain the WA HCA 13-794 form from the official website or any designated office.
02
Read the instructions carefully before filling out the form.
03
Fill in your personal information such as name, address, and contact details at the top of the form.
04
Provide the necessary identification information as required, such as your date of birth and social security number.
05
Indicate the type of assistance you are applying for by selecting the appropriate options.
06
Complete any additional sections of the form regarding your medical history or financial information as requested.
07
Review all the information you have entered for accuracy.
08
Sign and date the form at the designated area.
09
Submit the completed form as per the submission instructions provided.
Who needs WA HCA 13-794?
01
Individuals seeking financial assistance for healthcare services.
02
Residents of Washington State who qualify for health care programs.
03
Individuals needing to apply for Medicaid or similar assistance programs.
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People Also Ask about
What does HCA stand for in Washington state?
About the Health Care Authority (HCA) | Washington State Health Care Authority.
Is healthcare expensive in Washington state?
The cost of health insurance in Washington is $470 per month, on average, for a full-price Silver plan. Many people can qualify for discounted rates based on income and family size, and those in Washington who receive health insurance subsidies pay an average of $132 per month for health insurance.
How is the healthcare in Washington state?
(The Center Square) – Washington state was ranked the No. 28 best state in the nation in terms of health care, ing to a new study by WalletHub.
Is healthcare good in Washington state?
28 in the nation.
Where does Washington rank in healthcare?
States with Best Health Care Systems Overall RankStateTotal Score26Idaho53.9827Montana53.8028Washington53.2229California52.3447 more rows • Aug 1, 2022
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What is WA HCA 13-794?
WA HCA 13-794 is a form used in Washington State for reporting health care data to the Health Care Authority.
Who is required to file WA HCA 13-794?
Health care providers and entities that deliver or pay for health care services in Washington State are required to file WA HCA 13-794.
How to fill out WA HCA 13-794?
To fill out WA HCA 13-794, gather the necessary data regarding health care services provided, complete each section as per the instructions, and submit it to the Health Care Authority.
What is the purpose of WA HCA 13-794?
The purpose of WA HCA 13-794 is to collect data for the analysis and improvement of health care quality, cost, and access within Washington State.
What information must be reported on WA HCA 13-794?
Information reported on WA HCA 13-794 typically includes patient demographics, service types, costs, and outcomes related to health care services provided.
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