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Commonwealth of Kentucky KY Medicaid Provider Billing Instructions For Primary Care Services Provider Type 31 Federally Qualified Health Clinic Version 1.7 January 22, 2018Document Change Log Document

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How to fill out initial creation of non-fqhc

01

Gather all necessary information and documents like legal name of the non-FQHC, mailing address, contact information, and mission statement.

02

Consult with an attorney to ensure compliance with all state and federal laws regarding non-profit organizations.

03

Prepare and file articles of incorporation with the appropriate state agency.

04

Develop bylaws that outline the governance structure and operational procedures of the non-FQHC.

05

Apply for an Employer Identification Number (EIN) from the Internal Revenue Service (IRS).

06

Complete and submit Form 1023, Application for Recognition of Exemption under Section 501(c)(3) of the Internal Revenue Code, to the IRS.

07

Pay the necessary filing fees and wait for approval from the IRS.

08

Once approved, register with the state attorney general's office or other relevant state agency.

09

Obtain any required licenses or certifications to ensure compliance with healthcare regulations.

10

Develop a strategic plan and budget for the non-FQHC's operations and services.

11

Recruit and hire qualified staff members who can effectively carry out the non-FQHC's mission.

12

Establish partnerships with other healthcare providers and community organizations to enhance services and resources.

13

Begin providing healthcare services and implementing the non-FQHC's programs and initiatives.

Who needs initial creation of non-fqhc?

01

Any individual or group who wants to establish a non-FQHC (non-Federally Qualified Health Center) may need to go through the initial creation process.

02

This can include healthcare professionals, community leaders, and organizations dedicated to improving access to healthcare services.

03

Non-FQHCs are typically established to provide healthcare services to underserved populations, address specific health concerns, or fill gaps in the existing healthcare system.

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What is initial creation of non-fqhc?

Initial creation of non-fqhc refers to the process of establishing a non-Federally Qualified Health Center (FQHC) organization.

Who is required to file initial creation of non-fqhc?

Any entity or individual looking to start a non-FQHC organization is required to file the initial creation paperwork.

How to fill out initial creation of non-fqhc?

To fill out the initial creation of non-FQHC paperwork, one must provide detailed information about the organization's structure, mission, and key personnel.

What is the purpose of initial creation of non-fqhc?

The purpose of filing the initial creation of non-FQHC is to formally establish a non-FQHC organization and ensure compliance with regulations.

What information must be reported on initial creation of non-fqhc?

The initial creation paperwork typically requires information on the organization's name, address, purpose, and governing body.

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