WA Molina Healthcare Washington Practitioner Application 2011 free printable template
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Washington Practitioner Application To use the Washington Practitioner Application (WPA), follow these instructions: Keep an unsigned and undated copy of the application on file for future requests.
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How to fill out WA Molina Healthcare Washington Practitioner Application
How to fill out WA Molina Healthcare Washington Practitioner Application
01
Download the WA Molina Healthcare Washington Practitioner Application form from the official website.
02
Read the instructions provided in the form carefully.
03
Fill in your personal information including name, address, and contact details.
04
Provide your professional qualifications, including education, certifications, and licenses.
05
List your work experience and any affiliations with other healthcare providers.
06
Include information about your practice, such as specialty areas, office location, and availability.
07
Complete the sections regarding liability insurance and malpractice history.
08
Review the application for accuracy and completeness before signing.
09
Submit the application along with any required supporting documentation as directed.
Who needs WA Molina Healthcare Washington Practitioner Application?
01
Healthcare practitioners looking to join Molina Healthcare's network in Washington State need this application.
02
Providers who are seeking to offer services to Molina's members must complete the application process.
03
New healthcare providers wishing to establish partnerships with Molina Healthcare for reimbursement purposes.
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What is WA Molina Healthcare Washington Practitioner Application?
The WA Molina Healthcare Washington Practitioner Application is a form used by healthcare practitioners in Washington to apply for participation in Molina Healthcare's network, allowing them to provide services to Molina members.
Who is required to file WA Molina Healthcare Washington Practitioner Application?
Healthcare practitioners who wish to join Molina Healthcare's provider network must file the WA Molina Healthcare Washington Practitioner Application.
How to fill out WA Molina Healthcare Washington Practitioner Application?
To fill out the WA Molina Healthcare Washington Practitioner Application, practitioners need to provide their personal and professional information, including credentials, practice details, and any necessary documentation as specified in the application guidelines.
What is the purpose of WA Molina Healthcare Washington Practitioner Application?
The purpose of the WA Molina Healthcare Washington Practitioner Application is to evaluate and credential healthcare practitioners for participation in Molina's network to ensure quality care for its members.
What information must be reported on WA Molina Healthcare Washington Practitioner Application?
The information required on the WA Molina Healthcare Washington Practitioner Application includes the practitioner's personal details, professional qualifications, work history, any malpractice history, and supporting documents like licenses and certifications.
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