Trans114net 2013 form-2025

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The document is an enrollment application for healthcare providers wishing to participate in the Children with Special Health Care Needs (CSHCN) Services Program. It outlines the necessary steps, forms, and requirements for enrollment, including compliance with the Affordable Care Act. The application process involves submitting various forms, including a Provider Enrollment Application, Disclosure of Ownership Statement, and Principal Information Forms. Providers must ensure they meet all criteria and understand their responsibilities within the program to deliver services effectively to children with special health care needs.

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Versions	Form popularity	Fillable & printable
2016	4.8 Satisfied (71 Votes)
2015	4.3 Satisfied (73 Votes)
2013	4.4 Satisfied (518 Votes)

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