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Get the free DHCS 1830 - Mobile NTP Initial Application Form - CA.gov

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State of California Health and Human Services AgencyDepartment of Health Care ServicesMOBILE NARCOTIC TREATMENT PROGRAM APPLICATION INSTRUCTIONS FOR COMPLETION OF THE APPLICATION FOR PROTOCOL AMENDMENT MOBILE
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DHCS 1830 - Mobile is a form used by health care providers in California to report data related to mobile health services provided to patients.
Health care providers who deliver mobile health services and receive reimbursement from the Department of Health Care Services (DHCS) are required to file DHCS 1830 - Mobile.
To fill out DHCS 1830 - Mobile, providers must complete the form with accurate service delivery data, patient information, and other specified details as directed by DHCS guidelines.
The purpose of DHCS 1830 - Mobile is to collect data on mobile health services to assess quality, monitor outcomes, and ensure compliance with health care regulations.
Information that must be reported on DHCS 1830 - Mobile includes provider details, patient demographics, service dates, type of services rendered, and billing information.
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