Treatment provider application 2025

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The document is the Initial Treatment Provider Application from the State of California's Health and Human Services Agency, specifically for the Department of Health Care Services. It outlines the application process for current and prospective providers seeking licensure or certification for Substance Use Disorder (SUD) treatment programs. The application includes detailed instructions on required documentation, regulations, fees, and specific sections to be completed based on the type of services offered. It emphasizes the importance of submitting a complete application to avoid delays and provides contact information for assistance.

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Versions	Form popularity	Fillable & printable
2016	4.8 Satisfied (120 Votes)
2014	4 Satisfied (39 Votes)

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What are treating providers?

Definition: A licensed provider working within their scope of practice who assumes responsibility for management, treatment, or ongoing care of a patient.

What is the difference between a doctor and a provider?

The term health care provider includes a hospital, skilled nursing facility, nursing facility, home health entity or other long term care facility, health care clinic, community mental health center (as defined in section 300x2(b)(1) of this title), renal dialysis facility, blood center, ambulatory surgical center

What is a provider application?

Provider Enrollment (or Payor Enrollment) refers to the process of applying to health insurance networks for inclusion in their provider panels. For Commercial Insurance networks, this process involves two steps, 1) Credentialing and 2) Contracting.

What is considered a care provider?

Professionals who provide psychotherapy include psychologists, psychiatrists, social workers, licensed professional clinical counselors, licensed marriage and family therapists, pastoral counselors and psychiatric nurse practitioners. Of that group, psychologists, psychiatrists and social workers are the most common.

What is a treatment provider?

Treatment provider means any person or entity at one location whose primary purpose is to provide services for the care, treatment, habilitation, or rehabilitation of substance users, the mentally ill, or the developmentally disabled.

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