Our Services
AB 75
Documents and Data
- CHIP Hospital Program Conditions of Participation
Program policies and procedures for hospital participation in the CHIP Hospital Program.
- CHIP Physician Program Conditions of Participation
Program policies and procedures for physician participation in the CHIP Physician Program.
- CHIP Hospital Program Enrollment Form
Enrolment form for hospital participation in the CHIP Hospital Program.
- Notice of CHIP Fund Availability
Copy of notice posted in hospital emergency rooms and patient financial eligibility offices.
- Annual Management Report (S-3)
Statistical report on utilization and costs by types of service and patient type for the CHIP Physician Program.
- CHDP Confidential Screening/Billing Report (PM-160)
Form that is used to track and authorize treatment services.
- CHIP Provider Meeting Minutes
- January 11, 2007
- October 12, 2006
- July 13, 2006
- April 13, 2006
- January 12, 2006
- October 13, 2005
- July 14, 2005
- April 14, 2005
- January 13, 2005
- October 14, 2004
- July 8, 200
