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DIVISION OF HEALTH CARE FINANCING AND POLICY MEDICAID SERVICES MANUAL TABLE OF CONTENTS PHYSICIAN SERVICES 600INTRODUCTION ...................................................................................................1601AUTHORITY
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How to fill out custodians of medicaid services

01
Obtain the necessary forms from the Medicaid office or website.
02
Fill out the forms with accurate information about the Medicaid services recipient.
03
Provide any supporting documentation required, such as proof of income or identification.
04
Submit the completed forms and documentation to the Medicaid office either in person or by mail.
05
Follow up with the Medicaid office to ensure that the forms are processed and the custodianship is approved.

Who needs custodians of medicaid services?

01
Individuals who are unable to manage their own Medicaid services due to physical or mental limitations.
02
Minors who are receiving Medicaid services and require a legal guardian to oversee their healthcare needs.
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Custodians of Medicaid services are individuals or entities responsible for managing and overseeing the administration of Medicaid benefits and services.
Healthcare providers, facilities, and entities that receive payments for Medicaid services and benefits are required to file custodians of Medicaid services.
Custodians of Medicaid services can be filled out online through the Medicaid provider portal or by submitting a paper form to the Medicaid agency.
The purpose of custodians of Medicaid services is to ensure accurate reporting and tracking of Medicaid payments and services provided to eligible beneficiaries.
Information such as provider name, address, NPI number, Medicaid ID, services provided, dates of service, and payment amounts must be reported on custodians of Medicaid services.
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