Get the free OHP 3116. Enrollment Attachment for DMEPOS Providers
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Provider Enrollment Attachment DM EPOS HP 3116 (Rev. 5/16) Page 2 of 3 Prosthetics Personnel DME provider with Assistive Technology Practitioner (ATP), Assistive
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What is ohp 3116 enrollment attachment?
The OHP 3116 enrollment attachment is a form used to provide additional information when enrolling in the Oregon Health Plan (OHP).
Who is required to file ohp 3116 enrollment attachment?
Individuals who are enrolling in the Oregon Health Plan (OHP) may be required to file the OHP 3116 enrollment attachment.
How to fill out ohp 3116 enrollment attachment?
The OHP 3116 enrollment attachment can be filled out by providing the requested information such as personal details, income, household size, and other relevant information.
What is the purpose of ohp 3116 enrollment attachment?
The purpose of the OHP 3116 enrollment attachment is to gather additional information needed for enrolling in the Oregon Health Plan (OHP) and determine eligibility.
What information must be reported on ohp 3116 enrollment attachment?
Information such as personal details, income, household size, and other relevant information must be reported on the OHP 3116 enrollment attachment.
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