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Contract Review Sheet Amendment #:HE557823Contact: Very SaechaoDepartment:Phone #: (503) 5844897Date Sent:Thursday, February 22, 2024HE557823 (1)Intergovernmental Agreement #:1Title: ODDS IGA#180110

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How to fill out hhs amend 4 oha

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Obtain a copy of the HHS amend 4 OHA form.

02

Fill out all necessary personal information, including name, contact information, and any identification numbers requested.

03

Provide details about the amendment you are requesting, including why it is necessary and any supporting documentation.

04

Sign and date the form before submitting it to the appropriate HHS or OHA office.

Who needs hhs amend 4 oha?

01

Individuals who need to amend their personal information with the Department of Health and Human Services (HHS) or the Office of Hearings and Appeals (OHA) will need to fill out the HHS amend 4 OHA form.

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What is hhs amend 4 oha?

HHS Amend 4 OHA refers to the fourth amendment to the Oregon Health Authority's information reporting requirements.

Who is required to file hhs amend 4 oha?

Healthcare providers and organizations in Oregon are required to file HHS Amend 4 OHA.

How to fill out hhs amend 4 oha?

To fill out HHS Amend 4 OHA, providers must report specific information related to healthcare services provided.

What is the purpose of hhs amend 4 oha?

The purpose of HHS Amend 4 OHA is to collect information on healthcare services in Oregon for data analysis and planning purposes.

What information must be reported on hhs amend 4 oha?

Providers must report details about patient encounters, services provided, and other relevant healthcare data.

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