
Dhcs 6236 2016-2025 Form
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People also ask
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What is a subcontractor in DHCS?
Subcontractor – an individual or entity that has a Subcontractor Agreement with the MCP that relates directly or indirectly to the performance of the MCP's obligations under its contract with DHCS.
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How to request medical records from Medi-Cal?
Please call (916) 650-0490 for further information. If none of these circumstances apply, please complete the form. To continue with your request for access to your Medi-Cal records, please go to page 2 and indicate which records you wish to get a copy of.
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What is the DHCS definition of homelessness?
An individual or family who lacks adequate nighttime residence; • An individual or family with a primary residence that is a public or private place not designed for or ordinarily used for habitation; • An individual or family living in a shelter; • An individual exiting an institution into homelessness; • An ...
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What is an authorization for release of PHI?
A Privacy Rule Authorization is an individual's signed permission to allow a covered entity to use or disclose the individual's protected health information (PHI) that is described in the Authorization for the purpose(s) and to the recipient(s) stated in the Authorization.
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