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PRINTED: 12/1/2019 FORM APPROVED OMB NO. 09380391DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA
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State the purpose of the transmittal letter, which is to accompany the DCH plans.
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The DCH plans transmittal letter is a formal document submitted to the Department of Community Health (DCH) that outlines the details and changes of a healthcare plan.
Entities such as health insurance providers, managed care organizations, and other healthcare service providers are required to file the DCH plans transmittal letter.
To fill out the DCH plans transmittal letter, one must provide relevant details like the plan's name, contact information, changes being made, and any supporting documentation as required.
The purpose of the DCH plans transmittal letter is to communicate any updates, modifications, or new healthcare plans to the DCH for approval and record-keeping.
Essential information includes plan identification, type of changes, effective dates, contact information of the provider, and any relevant supporting documentation.
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