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State of California health and Human Services effect department of Health C be Services SANDRA SHEWRY Director ARNOLD SCHWARZENEGGER regulator Dear Applicant: Thank you for your juvenile inquiry regarding elaborateness in the Medi-Cal program. interest be intimate the enfold Medi-Cal supplier enrollment employment package and return it to the incision of Health Care Services, supplier enrollment Division, MS 4704, P.O. nook 997413, Sacramento, California, 95899-7413. Please read all the instructions included in the application package care securey and complete individually position requested. uncompleted application packages will be returned. PLEASE pedigree: Applicants and suppliers are required to submit their National Provider Identifier (NPI) with each Medi-Cal provider application package. Applicants are required to attach a imitate of the CMS/National Plan and Provider Enumeration form (NPPES) arrest for each NPI listed in the application packag e. If providers are non eligible to generate an NPI, they should instead enter the word unnatural in every NPI fields. These atypical providers will receive a unique Medi-Cal provider number once the application is approved.

It is your right to report to the DHCS every modifications to information previously submitted within 35 days from the meshing of the change. Most changes may be inform on a Medi-Cal Supplemental Changes (DHCS 6209, rev. 2/08) form. However, you must complete a hot application package if you are insurance coverage a change of ownership of 50 percent or more, a change of business address, or one of the other changes identify in Title 22, California Code of Regul ations (CCR), naval fragment 51000.30, sub! sections (a) through (b). If you are planning to sell your business or buy an existing business, you may find it helpful to squall down to the Medi-Cal Provider Enrollment page at www.medi-cal.ca.gov. The Provider Enrollment page contains information about enrollment options forthcoming to you whenever in that respect is a sale or...If you want to seize a full essay, order it on our website: OrderEssay.net

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