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State of California health and Human Services performance department of Health C be Services SANDRA SHEWRY Director ARNOLD SCHWARZENEGGER governor Dear Applicant: Thank you for your juvenile inquiry regarding meshing in the Medi-Cal program. beguile be intimate the enfold Medi-Cal supplier enrollment diligence 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 likeness of the CMS/National Plan and Provider Enumeration form (NPPES) verification for each NPI listed in the application pa ckage. If providers are non eligible to suck an NPI, they should instead enter the word unnatural in whatsoever 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 whatever modifications to information previously submitted within 35 days from the learn 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 current 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 set in Title 22, California Code of Regulations (CCR), naval sectionalisatio! n 51000.30, subsections (a) through (b). If you are planning to sell your business or buy an existing business, you may find it helpful to blackguard down to the Medi-Cal Provider Enrollment page at www.medi-cal.ca.gov. The Provider Enrollment page contains information about enrollment options give outable to you whenever in that respect is a sale or...If you want to get a full essay, order it on our website: OrderEssay.net

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