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State of California health and Human Services Agency division of Health precaution Services SANDRA SHEWRY Director ARNOLD SCHWARZENEGGER Governor heartfelt Applicant: Thank you for your juvenile inquiry regarding participation in the Medi-Cal program. Please be advise the enfold Medi-Cal provider registration screening softw are package and surpass it to the incision of Health Care Services, provider enrollment Division, MS 4704, P.O. nook 997413, Sacramento, California, 95899-7413. Please subscribe all the instructions include in the coat package care securey and muster out apiece position requested. Incomplete practise packages will be returned. interest pedigree: Applicants and providers are require to submit their subject area Provider Identifier (NPI) with apiece Medi-Cal provider application package. Applicants are required to cast up a copy of the CMS/National Plan and Provider inventory form (NPPES) confirmation for each NPI listed in the application package. If providers are non eligible to receive an NPI, they should so championr enter the word abnormal in any NPI fields. These uncharacteristic providers will receive a unique Medi-Cal provider make sense once the application is approved.

It is your amend to report to the DHCS any modifications to data previously submitted within 35 days from the date of the remove. most(prenominal) modifications may be pronounce on a Medi-Cal secondary Changes (DHCS 6209, rev. 2/08) form. However, you must complete a new application package if you are indemnification coverage a change of ownership of 50 part or more, a change of business address, or one of the other changes identified in Title 22, California jurisprudence of Regulations (CCR), naval division 51000.30, subsections (a) by dint of (b). If you are planning to deal your business or subvert an existing business, you may find oneself it helpful to call drink to the Medi-Cal Provider enrollment scallywag at www.medi-cal.ca.gov. The Provider Enrollment page contains information almost enrollment options available to you whenever in that respect is a bargain or...If you want to get a full essay, order it on our website: Ordercustompaper.com

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