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State of California Health and Human Services AgencyDepartment of Health Care ServicesDear Applicant: To enroll as a Family, Planning, Access, Care and Treatment (Family PACT) provider, please complete

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Who needs dhcs 4468?

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DHCS 4468 form is typically needed by individuals who:

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- Are applying for or renewing Medi-Cal benefits

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What is dhcs 4468?

DHCS 4468 is a form used for reporting information regarding payments made to Medi-Cal providers.

Who is required to file dhcs 4468?

Healthcare providers who participate in the Medi-Cal program are required to file DHCS 4468.

How to fill out dhcs 4468?

DHCS 4468 can be filled out electronically or manually by providing information about the payments made to providers.

What is the purpose of dhcs 4468?

The purpose of DHCS 4468 is to report payments made to Medi-Cal providers for reimbursement purposes.

What information must be reported on dhcs 4468?

Information such as provider name, provider ID, payment amount, and payment date must be reported on DHCS 4468.

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