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State of CaliforniaHealth and Human Services AgencyDepartment of Health Care ServicesPARTNERS FOR CHILDREN (PFC)Medical Eligibility and Level of Care Determination FormInitial DeterminationDate:Redetermination:
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DHCS 0008 - California is a form used for reporting information about Medi-Cal beneficiaries.
Health care providers and facilities that provide services to Medi-Cal beneficiaries are required to file DHCS 0008 - California.
DHCS 0008 - California can be filled out electronically or manually, following the instructions provided by the Department of Health Care Services.
The purpose of DHCS 0008 - California is to collect data and information on services provided to Medi-Cal beneficiaries for reimbursement purposes.
Information such as patient demographics, services provided, diagnosis codes, and billing codes must be reported on DHCS 0008 - California.
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