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Commonwealth of Kentucky KY Medicaid Provider Billing Instructions For Chemical Dependency Treatment Center Provider Type 06 Version 1.3 December 1, 2018Document Change Log Document Date VersionNameComments1.03/21/2016DXC
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How to fill out provider type 06

How to fill out provider type 06
01
Gather all necessary information and documents required for filling out provider type 06 form.
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Start by entering the provider's basic information such as name, address, contact details, and any other relevant information.
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Indicate the type of services the provider offers and the codes associated with each service.
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Provide details about the provider's qualifications, certifications, and any specializations.
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Who needs provider type 06?
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Provider type 06 is typically required by individuals or organizations who are offering specific medical or healthcare services that fall under the category defined by provider type 06. This may include healthcare professionals, clinics, hospitals, or other entities involved in providing specialized healthcare services.
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What is provider type 06?
Provider Type 06 is a designation for a specific type of healthcare provider.
Who is required to file provider type 06?
Healthcare providers who fall under the category of Provider Type 06 are required to file.
How to fill out provider type 06?
Provider Type 06 can be filled out online through the designated platform with the required information.
What is the purpose of provider type 06?
The purpose of Provider Type 06 is to track and monitor specific healthcare providers for regulatory purposes.
What information must be reported on provider type 06?
Provider Type 06 requires information such as identification details, services provided, and billing information.
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