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650 NE Holladay St, Suite 1700 Portland, Oregon Phone: 8884163184www.comagine.org/obhspFax: 8775758309Oregon Behavioral Health Support Program Oregon Prior Authorization Request Plan of Care Request
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Form-ch-006-pa-bh-respcs is needed by individuals or organizations who are required to report specific information according to Pennsylvania laws or regulations.
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Form CH-006-PA-BH-RESPCS is a specific reporting form used to collect information regarding certain compliance or regulatory matters in Pennsylvania.
Entities or individuals engaged in activities regulated under Pennsylvania law that require disclosure through this form must file it.
To fill out the form, follow the instructions provided with the form, ensuring all required information is accurately completed and submitted.
The purpose of this form is to ensure compliance with state regulations by collecting necessary data from businesses or individuals.
Required information typically includes identification details, nature of activities, and any relevant financial or operational data.
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