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You can submit the DHCS 6166 form by fax to 916-440-5677 or send via postal service to Medicare Operations Unit P. Ca.gov and to inform counties of the online availability of form DHCS 6166 State Medicare Buy-In Problem Report with the option to be submitted online to MOU for processing. Shortly after the release of ACWDL 09-24 the department s Information Security Officer ISO determined the online usage of form DHCS 6166 violated the Department...
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DHCS 6166 refers to a form used by the California Department of Health Care Services (DHCS) to collect important information about medical services and claims.
Healthcare providers and medical facilities in California are required to file DHCS 6166.
DHCS 6166 form should be completed by providing accurate and detailed information regarding medical services, claims, and other required details as specified in the form. It is essential to carefully review the instructions and provide all necessary information.
The purpose of DHCS 6166 is to collect data and information related to medical services and claims, which helps the California Department of Health Care Services in monitoring and managing healthcare programs and services effectively.
DHCS 6166 requires the reporting of information such as patient demographics, medical procedures/services provided, diagnosis codes, days of care, costs, and other relevant details specified in the form.
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