Get Dra 6032 Compliance Checklist Form

The Dra 6032 Compliance Checklist Form is an essential document for entities receiving substantial Medicaid payments. This guide will provide clear and detailed instructions to help users complete the form online confidently.

Follow the steps to complete the Dra 6032 Compliance Checklist Form online.

1. Press the ‘Get Form’ button to access the form and open it in your web browser for online completion.
2. Begin filling out the first section regarding the establishment and availability of policies. Indicate 'Yes' or 'No' for whether policies concerning the False Claims Act have been created and communicated to all relevant personnel.
3. In the second section, review and confirm that your entity's written policies encompass all required information related to the False Claims Act. Again, select 'Yes' or 'No' as applicable to each point.
4. Move to the additional questions section. Ensure that your entity’s policies reference relevant Arizona statutes concerning penalties. Confirm whether your entity has adequate fraud detection and prevention policies.
5. At the bottom of the form, you will need to certify your review of the checklist. Enter the name of the individual signing the document, their title, and the name of the entity.
6. Complete the address fields, including city and zip code, to finalize your submission. After ensuring all sections are filled out correctly, you can save any changes, download, print, or share the completed form.

Complete your Dra 6032 Compliance Checklist Form online today!