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Get Epsdt County Reporting File - Jfs Ohio
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How to fill out the EPSDT County Reporting File - Jfs Ohio online
The EPSDT County Reporting File is an essential document used to track recipients who are overdue for important health screenings. This guide provides clear instructions for completing the form online, ensuring that users can efficiently navigate each section.
Follow the steps to accurately complete the form online.
- Press the ‘Get Form’ button to access the EPSDT County Reporting File and open it for editing.
- Identify the first section related to recipient information. Enter the last name in the 'RECIP_NAME_LAST' field followed by the first name in the 'RECIP_NAME_FIRST' field. Include the middle initial in 'RECIP_NAME_MI' if applicable.
- Proceed to fill out the identification number in the 'ID_MEDICAID' field, ensuring it is the unique identifier for the recipient.
- In the 'CASE_NAME_LAST' and 'CASE_NAME_FIRST' fields, input the last and first names of the case head respectively, adding the middle initial if relevant.
- Enter the case number in the 'NUM_CASE' field.
- Fill in the address fields, including 'ADR_STREET_1' for the primary street address and 'ADR_STREET_2' for any additional address information. Specify the city, state, and complete the zip code in 'ADR_CITY', 'ADR_STATE', 'ADR_ZIP_CODE', and 'ADR_ZIP_CODE_4' fields.
- Input the recipient's phone number in the 'NUM_PHONE' field.
- Indicate the recipient's age in months in the 'RECIP_AGE' field.
- Provide the Medical Care Provider (MCP) name in the 'MCP_NAME' field.
- Next, address the screening statuses. Utilize 'CDE_EPSDT_SCREEN', 'CDE_LEAD_TEST', and 'CDE_DEVELOP_SCREEN' fields to denote if screenings are late. Use codes B for Behind, C for Concerned, or U for Urgent.
- Review all entered information for accuracy. Once complete, save your changes. You can then download, print, or share the completed EPSDT County Reporting File as needed.
Start filling out your EPSDT County Reporting File online today!
To send documents to Ohio Benefits, you can use the online portal or mail them directly to the specified address provided on their website. Make sure to include necessary information and properly label your documents. The EPSDT County Reporting File - Jfs Ohio can be a useful tool for tracking submissions related to children's healthcare documentation.
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