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Department of Health Care Services State of California Health and Human Services Agency Licensing and Certification Section, MS 2600 PO Box 997413 Sacramento, CA 958997413 A3B ADMINISTRATIVE ORGANIZATION
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What is dhcs 5084 - administrative?
DHCS 5084 - Administrative is a form used for reporting administrative information to the Department of Health Care Services (DHCS) in California.
Who is required to file dhcs 5084 - administrative?
Health care providers and facilities that receive funding or reimbursements from DHCS are required to file DHCS 5084 - Administrative.
How to fill out dhcs 5084 - administrative?
DHCS 5084 - Administrative can be filled out electronically or manually by providing detailed administrative information requested on the form.
What is the purpose of dhcs 5084 - administrative?
The purpose of DHCS 5084 - Administrative is to collect administrative data from health care providers and facilities for monitoring and compliance purposes.
What information must be reported on dhcs 5084 - administrative?
Information such as provider/facility name, address, contact information, services provided, and other administrative details must be reported on DHCS 5084 - Administrative.
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