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                Get Or Dmap 525 2016
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How to fill out the OR DMAP 525 online
Filling out the OR DMAP 525 form online is an essential process for hospice providers notifying about nursing facility residents. This guide provides clear and detailed instructions to help users complete the form accurately and efficiently.
Follow the steps to complete the OR DMAP 525 form online.
- Press the ‘Get Form’ button to access the OR DMAP 525 form and open it in your preferred editor.
- Start by selecting the reason for notification. Options include resident elected hospice, resident death, hospice discharge, resident revoked hospice, or resident transfer. If applicable, provide the effective date for the selected reason.
- In the hospice information section, input the Medicaid provider number, contact name, and telephone number, as well as the hospice agency name and mailing address.
- Complete the resident information fields, including the Medicaid (Prime) ID number, date of birth, resident's full name, nursing facility name, nursing facility provider number or NPI number, and the name of the CCO or MCO.
- If the resident is being transferred, fill out the transfer information section with the new provider name, provider number, contact name, telephone number, and new address if applicable.
- Once all sections are completed, review the form for accuracy. Make sure all necessary fields are filled out appropriately. Use 'N/A' for any fields that do not apply.
- After confirming the information is correct, you may proceed to save changes, download, print, or share the completed OR DMAP 525 form as required.
Start filling out your OR DMAP 525 form online today for fast and efficient processing.
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        To qualify for Medicaid in Oregon, income limits vary based on household size and other factors. For many, the threshold is aligned with the federal poverty level. Checking the recent guidelines for OR DMAP 525 ensures you understand your eligibility and can access the comprehensive resources that Medicaid provides.
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