Parental Notice for PA Medical Assistance Billing — Pennsylvania Only is a requirement set by the Pennsylvania Department of Human Services (DHS) for all providers of medical assistance billed to the Pennsylvania Medical Assistance Program. This requirement states that all providers must provide written parental notification to the parents of a minor child prior to providing medical assistance services that are billed to the Pennsylvania Medical Assistance Program. This written notification must include the name of the provider, the service to be provided, the cost of the service, the terms of payment, and the signature of the representative of the provider. The types of Parental Notice for PA Medical Assistance Billing — Pennsylvania Only are: Prior Authorization, Co-Payment and Deductible Notice, and Third Party Liability Notice.
Parental Notice for PA Medical Assistance Billing - Pennsylvania Only
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How to fill out Parental Notice For PA Medical Assistance Billing - Pennsylvania Only?
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