Get the free WA 17-0025-Telemedicine Approval Package (8-17-17).pdf
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Table of Contents State/Territory Name: Washington State Plan Amendment (SPA) #: 170025 This file contains the following documents in the order listed: 1) Approval Letter 2) CMS 179 Form 3) Approved
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01
To fill out the wa 17-0025-telemedicine approval package, follow these steps:
02
Download the wa 17-0025-telemedicine approval package form from the official website.
03
Read the instructions carefully to understand the requirements and guidelines.
04
Complete the applicant information section, providing all necessary personal details.
05
Fill out the telemedicine service details, including the type of service provided and the target population.
06
Attach any supporting documents required, such as certifications or licenses.
07
Review the filled form for accuracy and completeness.
08
Sign the form at the designated section.
09
Submit the completed wa 17-0025-telemedicine approval package to the relevant authority.
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Keep a copy of the form for your records.
Who needs wa 17-0025-telemedicine approval package?
01
The wa 17-0025-telemedicine approval package is needed by healthcare professionals or organizations who want to provide telemedicine services.
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This package allows them to receive the necessary approval to legally offer telemedicine consultations or services.
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What is wa 17-0025-telemedicine approval package?
The wa 17-0025-telemedicine approval package is a set of documents and forms required for approval of telemedicine services in Washington state.
Who is required to file wa 17-0025-telemedicine approval package?
Healthcare providers and facilities offering telemedicine services in Washington state are required to file the wa 17-0025-telemedicine approval package.
How to fill out wa 17-0025-telemedicine approval package?
The wa 17-0025-telemedicine approval package can be filled out online on the Washington state department of health website or submitted in physical form to the department.
What is the purpose of wa 17-0025-telemedicine approval package?
The purpose of the wa 17-0025-telemedicine approval package is to ensure compliance with state regulations regarding telemedicine services and to ensure patient safety.
What information must be reported on wa 17-0025-telemedicine approval package?
The wa 17-0025-telemedicine approval package requires information such as provider credentials, type of telemedicine services offered, patient consent procedures, and emergency protocols.
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