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Provider Enrollment Checklist for Behavioral Health Direct Service Provider Type 14 and Provider Type 82: Qualified Behavioral Aide (CBA), Specialty 302 This checklist must be completed and submitted
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Who needs provider type 14?

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Provider type 14 is needed by individuals or organizations who wish to become a specific type of provider in a certain field or industry.
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Provider type 14 generally refers to a specific classification of service providers within a regulatory or reporting framework, often related to healthcare or social services.
Typically, healthcare or service providers who fall under the regulatory category of provider type 14 are required to file. This may include clinics, hospitals, or specific service-oriented organizations.
Filling out provider type 14 usually involves providing detailed information about the organization, including services rendered, financial data, and compliance with relevant regulations, often using a standardized form.
The purpose of provider type 14 is to ensure accurate reporting and compliance with healthcare or social service regulations, enabling oversight and assessment of service delivery.
Information that must be reported typically includes provider identification, services rendered, financial performance data, patient demographics, and compliance metrics.
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