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Department of Human Services (DHS)DISTRICT OF COLUMBIAEconomic Security Administration (ESA)Conversion Renewal Form This is a supplemental form for medical assistance. A friend, relative, or anyone
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Obtain the conversion renewal form -dhcf from the designated website or office
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Who needs conversion renewal form -dhcf?

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Conversion renewal form -dhcf is a form used to renew a DHCF (Department of Health Care Finance) certification for a provider or facility.
All providers or facilities that are required to maintain DHCF certification must file the conversion renewal form.
The conversion renewal form -dhcf can typically be filled out online through the DHCF website or submitted via mail with the necessary documentation.
The purpose of the conversion renewal form -dhcf is to ensure that providers and facilities maintain compliance with DHCF certification requirements.
Providers or facilities may need to report updated contact information, proof of continuing education, and any changes to services offered.
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