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3.1.1 Provider Enrollment Application
To participate in the CSHCN Services Program, all providers must complete the Children with Special Health Care Needs (CSHCN) Services Program Provider Enrollment Application. The Provider Enrollment Application must be signed by the person who is applying for enrollment. If the applicant is unable to sign, a letter showing Power of Attorney must be attached to the Provider Enrollment Application. Provider enrollment forms can be obtained from the TMHP website at www.tmhp.com.
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