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Aetna Better Health of Texas PROVIDER NOTIFICATION Background In accordance with the American Rescue Plan Act (ARPA) of 2021, CHIP CMOS must ensure COVID-19 related vaccines, treatments, and testing

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What is form 5004 optional covid-19?

Form 5004 optional covid-19 is a form used to report optional Covid-19 related information.

Who is required to file form 5004 optional covid-19?

Only individuals or entities who wish to voluntarily report Covid-19 data are required to file form 5004.

How to fill out form 5004 optional covid-19?

Form 5004 can be filled out electronically or manually, providing requested Covid-19 information.

What is the purpose of form 5004 optional covid-19?

The purpose of form 5004 is to gather optional data related to Covid-19 for reporting and analysis.

What information must be reported on form 5004 optional covid-19?

Form 5004 may include information such as Covid-19 cases, testing results, vaccination statistics, and related data.

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