Get the free ADDENDUM 1 TO SOONERCARE FQHC AGREEMENT

ADDENDUM 1 TO SOONER CARE FHC AGREEMENT FOR CHOICE PRIMARY CARE PROVIDERS/CASE MANAGERS 1.0PURPOSE The purpose of this Addendum (hereafter ADDENDUM 1) is for HCA and PROVIDER to contract for Choice PCP/CM

How to fill out addendum 1 to soonercare

How to fill out addendum 1 to soonercare

1. Begin by obtaining a copy of addendum 1 to soonercare. This form is typically available on the official soonercare website or can be obtained from your healthcare provider.
2. Make sure you have all the necessary information and documentation available. This may include your personal identification details, healthcare information, and any relevant medical records.
3. Read the instructions and requirements carefully before filling out the addendum. Pay attention to any specific guidelines or sections that need to be completed.
4. Start filling out the addendum by providing the requested information in each section. Make sure to be accurate and thorough, as any mistakes or missing information may delay the process.
5. If there are any additional documents or attachments required, make sure to include them with your completed addendum.
6. Double-check all the information you have provided to ensure its accuracy.
7. Once you have completed the addendum, sign and date it as required.
8. Submit the addendum along with any supporting documents to the designated recipient or address as mentioned in the instructions.
9. Keep a copy of the filled out addendum and any attachments for your records.
10. Follow up on the status of your addendum if necessary, and make any required corrections or updates as requested.

Who needs addendum 1 to soonercare?

1. Addendum 1 to soonercare may be needed by individuals who are enrolled in or applying for soonercare, which is a healthcare program in Oklahoma. It is typically required when there are changes or updates to the information provided on the original soonercare application or enrollment form. This can include changes in personal details, household composition, income, or other relevant factors. It is important to consult the soonercare guidelines or contact the appropriate authorities to determine if addendum 1 is required in your specific situation.

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What is addendum 1 to soonercare?

Addendum 1 to Soonercare is a supplemental form that provides additional information to the main Soonercare application.

Who is required to file addendum 1 to soonercare?

Certain individuals or organizations may be required to file addendum 1 to Soonercare based on specific eligibility criteria.

How to fill out addendum 1 to soonercare?

Addendum 1 to Soonercare can be filled out by providing the requested information accurately and completely as per the instructions provided on the form.

What is the purpose of addendum 1 to soonercare?

The purpose of addendum 1 to Soonercare is to collect additional information that is necessary for determining eligibility or other factors related to the main Soonercare application.

What information must be reported on addendum 1 to soonercare?

Addendum 1 to Soonercare may require reporting of specific financial, healthcare, or personal information as deemed necessary by the administering authority.