Get the free SPA-23-0031-Pending.pdf - DHCS - CA.gov
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State of CaliforniaHealth and Human Services AgencyDepartment of Health Care Services
MICHELLE BASS
DIRECTORGAVIN NEWSOM
GOVERNOR December 8, 2021Mr. James G. Scott, Director
Division of Program Operations
Medicaid
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What is spa-23-0031-pendingpdf - dhcs?
This form is a pending PDF document issued by DHCS.
Who is required to file spa-23-0031-pendingpdf - dhcs?
Healthcare providers and facilities are required to file spa-23-0031-pendingpdf - dhcs.
How to fill out spa-23-0031-pendingpdf - dhcs?
The form can be filled out online or by downloading and completing the PDF document.
What is the purpose of spa-23-0031-pendingpdf - dhcs?
The purpose of this form is to report specific healthcare information to DHCS.
What information must be reported on spa-23-0031-pendingpdf - dhcs?
The form requires reporting of detailed healthcare data such as patient demographics, services provided, and payment details.
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