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STATE OF CALIFORNIA DEPARTMENT OF AGING PROVIDER PARTICIPATION AGREEMENT CDA IMS 36 (REV 03/2020) As a condition of providing CommunityBased Adult Services (CBA) under the 1115(a) Waiver, (Licensee
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What is cda ims 36 provider?
The CDA IMS 36 Provider is a reporting form used by healthcare providers to submit data regarding services provided to patients under certain insurance plans, particularly Medicaid.
Who is required to file cda ims 36 provider?
Healthcare providers who participate in Medicaid and provide services that require reporting must file the CDA IMS 36 Provider form.
How to fill out cda ims 36 provider?
To fill out the CDA IMS 36 Provider form, providers must gather necessary patient and service information, enter it accurately in the designated fields, and ensure all required sections are completed before submission.
What is the purpose of cda ims 36 provider?
The purpose of the CDA IMS 36 Provider form is to collect and report information about healthcare services provided, which aids in the management and reimbursement processes for Medicaid services.
What information must be reported on cda ims 36 provider?
The CDA IMS 36 Provider form requires reporting information such as patient demographics, type of services provided, dates of service, provider identification, and any applicable billing codes.
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