Forms & publications

Notice: If you are looking for Apple Health (Medicaid) client forms and publications, please visit our Free or low-cost forms library.

Roster instructions for HCA providers only

The purpose of the Roster Instructions is to allow HCA only Groups and FAOI providers to upload bulk applications and bulk modifications for HCA Servicing Only providers that will be working for your business.

Roster Spreadsheet for HCA-only Providers

The purpose of this Roster is to allow HCA only Groups and FAOI providers to upload bulk applications and bulk modifications for HCA Servicing Only providers that will be working for your business.