Loading
Form preview picture

Get HI DHS 1139F 2013-2024

LY DISABLED INDIVIDUALS (ICF-DD/ID) ATTACHMENT SCOPE OF SERVICES (a) The FACILITY shall provide intermediate care facility services for the developmentally disabled/intellectually disabled individuals in conformance with and as described in Title 17, Subtitle 12, Subchapter 4, Chapter 17-1737, Hawaii Administrative Rules (HAR), and the applicable sections under C.F.R. 42, Part 483, Subpart I to those patients who have been determined by the Department of Human Services (DHS) to be Medicaid eligi.

How It Works

cms rating
4.8Satisfied
162 votes

Tips on how to fill out, edit and sign 1139F online

How to fill out and sign Developmentally online?

Get your online template and fill it in using progressive features. Enjoy smart fillable fields and interactivity. Follow the simple instructions below:

Experience all the benefits of completing and submitting documents on the internet. Using our solution completing HI DHS 1139F usually takes a couple of minutes. We make that achievable by offering you access to our full-fledged editor effective at altering/fixing a document?s original textual content, adding special boxes, and e-signing.

Fill out HI DHS 1139F in just a couple of moments by using the recommendations listed below:

  1. Choose the template you need from our library of legal forms.
  2. Choose the Get form button to open the document and start editing.
  3. Fill out all the required boxes (they are yellow-colored).
  4. The Signature Wizard will help you put your electronic autograph right after you?ve finished imputing information.
  5. Insert the relevant date.
  6. Look through the whole template to ensure you have filled in all the data and no corrections are needed.
  7. Hit Done and download the resulting form to your gadget.

Send the new HI DHS 1139F in a digital form when you finish completing it. Your data is well-protected, since we adhere to the most up-to-date security standards. Join millions of satisfied customers that are already filling out legal documents right from their houses.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.

Video instructions and help with filling out and completing subchapter

Go through the most up-to-date techniques in digital supervision. Fill in Form in minutes using our straightforward step-by-step video instructions.

MedQUEST FAQ

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.

Keywords relevant to HI DHS 1139F

  • 30th
  • 15th
  • cms
  • facilitys
  • subchapter
  • FFP
  • MedQUEST
  • nf
  • 1139F
  • conformance
  • reimbursements
  • developmentally
  • thirtieth
  • reimbursement
  • allocate
If you believe that this page should be taken down, please follow our DMCA take down processhere.
Ensure the security of your data and transactions

USLegal fulfills industry-leading security and compliance standards.

  • 
                            VeriSign logo picture

    VeriSign secured

    #1 Internet-trusted security seal. Ensures that a website is free of malware attacks.

  • Accredited Business

    Guarantees that a business meets BBB accreditation standards in the US and Canada.

  • 
                            TopTenReviews logo picture

    TopTen Reviews

    Highest customer reviews on one of the most highly-trusted product review platforms.