Get the free Provider Fact Sheet: 1915i - sanfordhealthplan.com
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Provider Manual 2021Table of Contents Section 1: Welcome....................................................................................................................................8 Section
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How to fill out provider fact sheet 1915i
How to fill out provider fact sheet 1915i
01
To fill out provider fact sheet 1915i, follow these steps:
02
Begin by gathering all the necessary information and documents, such as your provider identification number, contact information, and details about the services you offer.
03
Start with the basic information section, which includes fields for your agency name, address, and phone number. Fill in each field accurately.
04
Move on to the service details section. Here, you will need to provide information about the specific services you offer, including the service description, units, rates, and any applicable codes.
05
Fill out the billing information section, which requires you to input details about how you bill for your services, including your billing contact information and any specific requirements or instructions.
06
In the qualifications and certifications section, indicate any relevant qualifications or certifications that your agency possesses. This may include licenses, accreditations, or training certifications.
07
Finally, review the completed provider fact sheet 1915i for accuracy and completeness. Make any necessary corrections or additions before submitting it to the appropriate entity.
08
Note: It is important to ensure that the information provided in the fact sheet is up to date and reflects your agency's current capabilities.
Who needs provider fact sheet 1915i?
01
Provider fact sheet 1915i is needed by healthcare providers or agencies who wish to participate or are required to participate in the 1915i Medicaid Home and Community-Based Services (HCBS) waiver program. This program provides long-term care services and supports to eligible individuals in their own homes or communities, rather than in institutional settings.
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What is provider fact sheet 1915i?
Provider fact sheet 1915i is a document that contains information about providers who offer services under the 1915i Medicaid waiver program.
Who is required to file provider fact sheet 1915i?
Providers who offer services under the 1915i Medicaid waiver program are required to file the provider fact sheet 1915i.
How to fill out provider fact sheet 1915i?
Providers can fill out the provider fact sheet 1915i by providing accurate and detailed information about their services, qualifications, and compliance with Medicaid regulations.
What is the purpose of provider fact sheet 1915i?
The purpose of provider fact sheet 1915i is to ensure transparency, accountability, and quality of services provided under the 1915i Medicaid waiver program.
What information must be reported on provider fact sheet 1915i?
Providers must report information such as service offerings, qualifications of staff, compliance with Medicaid regulations, and any other relevant information.
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