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Click ‘Get Form’ to open the DHCS 5050 in the editor.
Begin by entering the 'Facility Name' and 'Provider #' at the top of the form. Ensure accuracy as this information is crucial for identification.
In the 'Counselor Information' section, list all staff members. For volunteers, place a 'V' next to their names. Remember, at least 30% of counseling staff must be licensed or certified.
Fill in each employee's details including their name, title, scheduled hours per week, and certification/registration numbers. Be sure to include effective and expiration dates for licenses.
Complete the sections regarding CPR and First Aid certifications as required for licensed facilities. Indicate if they are certified or registered by marking 'Yes', 'No', or 'N/A'.
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Hospital Presumptive Eligibility allows certain health care providers to approve temporary health coverage for eligible applicants using an electronic application. Hospital Presumptive Eligibility determinations are based on the applicants self-attestation of facts and no other forms of proof are required.
Is Medicaid and Medi-Cal the same thing in California?
Medi-Cal is the same as Medicaid in California. It is a federal and state-supported form of insurance that pays for various medical services for California residents with limited income and resources.
What is the recovery incentives program for DHCS?
Californias Recovery Incentives Program is a 24-week outpatient treatment, followed by six or more months of aftercare and recovery support services.
What is the official name of Medi-Cal?
The California Medical Assistance Program (Medi-Cal or MediCal) is the California implementation of the federal Medicaid program serving low-income individuals, including families, seniors, persons with disabilities, children in foster care, pregnant women, and childless adults with incomes below 138% of federal
What agency is DHCs under?
The California Department of Health Care Services (DHCS) is a department within the California Health and Human Services Agency that finances and administers a number of individual health care service delivery programs, including Medi-Cal, which provides health care services to low-income people.
The Department of Health Care Services (DHCS) has the sole authority to certify and monitor all outpatient alcohol or other drug programs, also known as substance use disorder (SUD) treatment programs that offer treatment, recovery, detoxification, or Medication for Addiction Treatment (MAT) services.
Is DHCS the same as Medi-Cal?
DHCS is the single state agency responsible for financing and administering the states Medicaid program, Medi-Cal, which provides health care services to low-income persons and families who meet defined eligibility requirements. Medi-Cal is authorized and funded through a federal-state partnership.
Related links
DHCS-5050.pdf - CA.gov
DHCS 5050 (Revised 07/2024). Page 1 of 9. STAFF AND HEALTH CARE PRACTITIONER (HCP) INFORMATION. INSTRUCTIONS FOR COMPLETION OF THIS FORM. Return completed form
by R Kravitz 2011 DHCS expects that the devices will be eligible for a 50/50 split between the State general fund (GF) and Federal Financial Participation (FFP) based on
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