
Get the free Medi-Cal Pharmacy Provider Self-Attestation Portal Now Open
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Medical Rx Pharmacy Provider
SelfAttestation Process
For Calendar Year 2022
February 23, 2023Agenda
What is the AttestationWhen to Attestor to AttestAttestation QuestionsCertificationOnline SelfAttestationExcel
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How to fill out medi-cal pharmacy provider self-attestation

How to fill out medi-cal pharmacy provider self-attestation
01
Go to the Medi-Cal pharmacy provider self-attestation form
02
Fill out all the required fields accurately
03
Provide all necessary documentation as requested
04
Review the form for any errors or missing information
05
Submit the completed form to the appropriate Medi-Cal office
Who needs medi-cal pharmacy provider self-attestation?
01
Pharmacy providers who wish to participate in the Medi-Cal program and provide services to Medi-Cal beneficiaries need to fill out the self-attestation form
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What is medi-cal pharmacy provider self-attestation?
Medi-Cal pharmacy provider self-attestation is a process where pharmacy providers attest to their compliance with certain requirements in order to participate in the Medi-Cal program.
Who is required to file medi-cal pharmacy provider self-attestation?
All pharmacy providers who participate in the Medi-Cal program are required to file the self-attestation.
How to fill out medi-cal pharmacy provider self-attestation?
Pharmacy providers can fill out the self-attestation form online or submit a paper copy with the required information.
What is the purpose of medi-cal pharmacy provider self-attestation?
The purpose of the self-attestation is to ensure that pharmacy providers are compliant with Medi-Cal program requirements.
What information must be reported on medi-cal pharmacy provider self-attestation?
Pharmacy providers must report information such as their compliance with Medi-Cal program requirements, ownership information, and other relevant details.
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