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PRINTED: 06/11/2015 FORM APPROVEDDivision of Health Service Regulation STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:(X2) MULTIPLE CONSTRUCTION A.

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How to fill out ihcp provider clia certification

01

Obtain an enrollment application from the Indiana Health Coverage Programs (IHCP) website.

02

Complete the application with all required information, including your provider information and CLIA certification details.

03

Submit the completed application to the IHCP for review and approval.

04

Ensure that your CLIA certificate is current and valid throughout the enrollment period.

05

Update your IHCP enrollment record with any changes to your CLIA certification status.

Who needs ihcp provider clia certification?

01

Healthcare providers who perform clinical laboratory services and want to bill the IHCP for these services.

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What is ihcp provider clia certification?

IHCP provider CLIA certification is a certification required for healthcare providers who perform laboratory testing on patients.

Who is required to file ihcp provider clia certification?

Healthcare providers who perform laboratory testing on patients are required to file IHCP provider CLIA certification.

How to fill out ihcp provider clia certification?

To fill out IHCP provider CLIA certification, providers need to provide information about the laboratory testing services they offer and ensure they meet all the necessary requirements.

What is the purpose of ihcp provider clia certification?

The purpose of IHCP provider CLIA certification is to ensure that healthcare providers who perform laboratory testing on patients meet certain quality standards and regulations.

What information must be reported on ihcp provider clia certification?

Information such as the types of laboratory tests offered, quality control measures, and personnel qualifications must be reported on IHCP provider CLIA certification.

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