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HCA Agreement Number: 186933273BHO PROGRAM AGREEMENT Prepaid Inpatient Health Plan (PIP)BHO GTC Contract Number: This BHO Program Agreement is by and between the State of Washington Health Care Authority
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01
Start by obtaining the PIHP-North Sound form.
02
Read the instructions carefully to understand the purpose and requirements.
03
Begin filling out the form by providing your personal information such as name, address, and contact details.
04
Next, provide the necessary details regarding your healthcare coverage, including insurance provider information.
05
Complete the sections related to your income and household size. This information will determine eligibility for the PIHP.
06
If applicable, provide details about any other healthcare programs or benefits you are currently enrolled in.
07
Review the completed form to ensure all sections are filled out accurately and completely.
08
Sign and date the form to certify the information provided is true and accurate.
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Attach any requested supporting documents, such as proof of income or residency.
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Submit the completed form and supporting documents as per the instructions provided.

Who needs pihp - north sound?

01
The PIHP-North Sound is needed by individuals or families who are seeking healthcare coverage and assistance in the North Sound region.
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This includes individuals who may not have private health insurance, are eligible for Medicaid or other healthcare programs, or individuals with low income and limited access to healthcare services.
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It is recommended to check the specific eligibility criteria and requirements for the PIHP-North Sound to determine if you qualify for the program.
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PIHP - North Sound stands for Pre-Implementation Humanitarian Programme in North Sound, it is a program designed to provide humanitarian assistance in the North Sound region.
Non-profit organizations, government agencies, and other entities operating in the North Sound region are required to file PIHP - North Sound.
To fill out PIHP - North Sound, entities need to provide information about their humanitarian projects, beneficiaries, funding sources, and impact assessment.
The purpose of PIHP - North Sound is to address humanitarian needs in the region, improve living conditions, and provide assistance to vulnerable populations.
Information about the project goals, beneficiaries, budget, funding sources, implementation plan, monitoring and evaluation methods must be reported on PIHP - North Sound.
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