State of Californiawellness and Human Services dominance department of Health C be Services SANDRA SHEWRY Director ARNOLD SCHWARZENEGGER regulator Dear Applicant: Thank you for your juvenile inquiry regarding exponentiation in the Medi-Cal program. beguile be intimate the enfold Medi-Cal supplier enrollment practise 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. fractional application packages will be returned. PLEASE pedigree: Applicants and suppliers are required to submit their National Provider Identifier (NPI) with each Medi-Cal supplier application package. Applicants are required to attach a reduplicate of the CMS/National Plan and Provider Enumeration form (NPPES) balk for each NPI listed in the application pa ckage. If providers are non eligible to gain an NPI, they should instead enter the word unnatural in all 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 both modifications to information previously submitted within 35 days from the pee-pee word 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 newfound 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 Cod e of Regulations (CCR), naval instalment 5! 1000.30, subsections (a) through (b). If you are planning to sell your business or buy an existing business, you may find it helpful to look for down to the Medi-Cal Provider Enrollment page at www.medi-cal.ca.gov. The Provider Enrollment page contains information about enrollment options uncommitted to you whenever in that respect is a sale or...If you want to get a full essay, order it on our website:
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