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OMB 09380990Important Notice from PM/HAP About
Your Prescription Drug Coverage and Medicare
Please read this notice carefully and keep it where you can find it. This notice has
information about your
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What is important notice from dpmhap?
The important notice from dpmhap is a notification that must be submitted to the Department of Mental Health and Addiction Services.
Who is required to file important notice from dpmhap?
Providers and organizations involved in mental health and addiction services are required to file the important notice from dpmhap.
How to fill out important notice from dpmhap?
The important notice from dpmhap can be filled out online through the designated portal provided by the Department of Mental Health and Addiction Services.
What is the purpose of important notice from dpmhap?
The purpose of the important notice from dpmhap is to ensure that providers and organizations comply with state regulations and inform the Department of Mental Health and Addiction Services about their services.
What information must be reported on important notice from dpmhap?
Information such as the type of services provided, number of clients served, and any changes in ownership or location must be reported on the important notice from dpmhap.
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