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INSTRUCTIONS FOR THE PRIMARY CARE PHYSICIAN (PCP) ADDENDUM TO THE SD MEDICAID PROVIDER AGREEMENT Participation in the SD Medicaid Primary Care Provider (PCP) Program is optional but strongly encouraged
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To fill out the provider list - department, follow these steps:
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Start by entering the department name at the top of the form.
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Provide all necessary contact information of the department, including phone number, email address, and physical address.
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List down all the providers associated with the department.
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For each provider, fill in their name, designation, contact details, and any additional relevant information.
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This list may be needed by administration staff, department heads, human resources, or any other personnel responsible for maintaining accurate records of providers and their affiliations with specific departments.
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What is provider list - department?
The provider list - department is a list of all the providers and their respective departments within an organization.
Who is required to file provider list - department?
All organizations are required to file a provider list - department.
How to fill out provider list - department?
The provider list - department can be filled out by including the names of providers and their corresponding departments in a spreadsheet or a designated form provided by the organization.
What is the purpose of provider list - department?
The purpose of the provider list - department is to keep track of all the providers within an organization and their respective departments for organizational and regulatory purposes.
What information must be reported on provider list - department?
The provider list - department must include the names of all providers and their assigned departments.
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