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HANDICAPPING BILINGUAL DEVIATION (HAD) Scoresheet DOB: ___ Medicaid ID #: ___Patient Name: ___ Treating Orthodontist: ___ Date: ___HAD Provider st 1 2nd Score Review ReviewConditions Cleft palate
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AmeriHealth Caritas District of Columbia is a Medicaid managed care organization serving the District of Columbia.
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Healthcare providers and organizations contracted with AmeriHealth Caritas District of Columbia may be required to file certain reports and documentation.
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The purpose of AmeriHealth Caritas District of Columbia forms is to collect necessary information for Medicaid managed care services and reporting requirements.
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The information required on AmeriHealth Caritas District of Columbia forms may include patient demographics, medical billing codes, services provided, and other relevant data.
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