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APPENDIX K: Emergency Preparedness and Response Background: This standalone appendix may be utilized by the state during emergency situations to request amendment to its approved waiver. It includes
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Obtain a copy of the Appendix K - DHCS form
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Fill in all required fields accurately and completely
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Review the completed form for any errors or missing information
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Submit the filled-out form to the appropriate DHCS office or department

Who needs appendix k - dhcs?

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Providers and organizations that are seeking to enter into partnership agreements with the California Department of Health Care Services (DHCS) may need to fill out Appendix K - DHCS.
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Appendix K - DHCS is a form used for reporting certain financial information to the California Department of Health Care Services (DHCS) by designated healthcare providers.
Designated healthcare providers are required to file Appendix K - DHCS.
Appendix K - DHCS must be filled out with accurate financial information and submitted to DHCS according to their guidelines.
The purpose of Appendix K - DHCS is to ensure transparency and accountability in the financial operations of designated healthcare providers.
Information such as revenues, expenses, assets, and liabilities must be reported on Appendix K - DHCS.
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