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MEDICAL MARIJUANA IDENTIFICATION CARD PROGRAM PHYSICIAN ATTESTATION This form must be completed by a Medical Marijuana Identification Card Program (MM ICP) applicants physician recommending the use
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What is mmicp physician attestation form?
MMICP physician attestation form is a document that healthcare providers must fill out to attest that they have met the requirements set forth by the Medicaid Managed Integrated Care Program.
Who is required to file mmicp physician attestation form?
All physicians and healthcare providers who participate in the Medicaid Managed Integrated Care Program are required to file the MMICP physician attestation form.
How to fill out mmicp physician attestation form?
To fill out the MMICP physician attestation form, healthcare providers must provide information about the services they have provided to Medicaid patients and attest that they have met the program requirements.
What is the purpose of mmicp physician attestation form?
The purpose of the MMICP physician attestation form is to ensure that healthcare providers are meeting the requirements set forth by the Medicaid Managed Integrated Care Program and to track the services provided to Medicaid patients.
What information must be reported on mmicp physician attestation form?
Healthcare providers must report the services they have provided to Medicaid patients, attest that they have met the program requirements, and provide any other requested information.
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