Training Module for Louisiana Medicaid
Description
Vocal Characteristics
Language
EnglishVoice Age
Young Adult (18-35)Accents
North American (General)Transcript
Note: Transcripts are generated using speech recognition software and may contain errors.
Here's the application Center contractual agreement. You must fill out all eight sections to enroll your application center and satellite offices. Primary Main Application Center. Identifying information. This is where you enter the A. C s name and tax I. D. And the name, phone number and fax number of the A. C s primary point of contact CEO slash CFO Information. This is where you enter the name, date of birth, phone number and email for either the CEO or CFO of your A C physical and mailing address. This is where you enter the physical and mailing addresses for the A. C. If you note that the physical address is the same as the mailing address, the mailing address fields pre populate and are disabled type of facility. This is where you select a facility type from the drop down menu. This includes, but is not limited to pharmacies, hospitals and religious organizations. Control of facility. This is where you enter the control type from the drop down menu, or type it in if the control type is not available in the drop down. This includes, but is not limited to federal agencies, charitable or religious organizations and privately owned entities. Types of applications to be served for Medicaid applicants. This is where you check the box or boxes next to the types of applicants you intend to serve at your A C at Satellite Application Center location. If you have more than one physical location, select yes to enter. The address is for each location.