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FOR LEAD AGENCY USE ONLY: To request a Provider Alert, please fill out the Provider Alert template below and submit it to Stanford Kemp (Stanford.Kemp1@hsd.nm.gov), Operations Director of the BHC for review and approval.

View file
nameProvider Alert Request Form Template.docx

The approved Provider Alert should be submitted by either Stanford Kemp or Raymond Duran on behalf of Stanford to FC Support at support@fallingcolors.com for processing. FC Support will respond to the request once the alert has been scheduled for distribution and posting.

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FOR LEAD AGENCY USE ONLY: To request a Letter of Direction, please fill out the LOD Template below and submit it to FC Support at support@fallingcolors.com for review and implementation.

View file
nameLOD Template on BHC Letterhead.docx

Once the LOD draft is approved for implementation, FC Support will route the LOD for Signature to Jorie and Nick for review and Signature via SignEasy. The LOD will be implemented in STAR once the LOD has been signed by both parties.

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