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Licensing And Certification forms-California
- Intermediary Preference [HS 413]
State: California
Jurisdiction: Statewide
Sub-Category: Department Of Health And Human Services - Applicant Individual Information [HS 215A]
State: California
Jurisdiction: Statewide
Sub-Category: Department Of Health And Human Services - Administrative Organization And Organizational Structure [HS 309]
State: California
Jurisdiction: Statewide
Sub-Category: Department Of Health And Human Services - Medicare Certification Civil Rights Information Request
State: California
Jurisdiction: Statewide
Sub-Category: Department Of Health And Human Services - Notice-Effective Date Of Provider Agreement [HS 328]
State: California
Jurisdiction: Statewide
Sub-Category: Department Of Health And Human Services - Affidavit Regarding Patient Money [HS 400]
State: California
Jurisdiction: Statewide
Sub-Category: Department Of Health And Human Services - Licensure And Certification Application [HS-200]
State: California
Jurisdiction: Statewide
Sub-Category: Department Of Health And Human Services - Transfer Agreement [HS 602]
State: California
Jurisdiction: Statewide
Sub-Category: Department Of Health And Human Services - Application For Medi-Cal Certification As A Primary Care Clinic Provider [HS 269]
State: California
Jurisdiction: Statewide
Sub-Category: Department Of Health And Human Services - Surety Bond Verification [HS 402]
State: California
Jurisdiction: Statewide
Sub-Category: Department Of Health And Human Services - Bed Or Service Request [CDPH 609]
State: California
Jurisdiction: Statewide
Sub-Category: Department Of Health And Human Services - Civil Rights Compliance Review (Title VI Section 504 ADA) [DHCS-1051]
State: California
Jurisdiction: Statewide
Sub-Category: Department Of Health And Human Services - Attachment E-1 Managment Company Information Only FOR SNFs Or ICFs [HS 200]
State: California
Jurisdiction: Statewide
Sub-Category: Department Of Health And Human Services - Assurance Of Compliance [HHS-690]
State: California
Jurisdiction: Statewide
Sub-Category: Department Of Health And Human Services

