Get Lawriter - Oac - 5122-26-19 Uniform Cost Reporting

Filling out the Lawriter - OAC - 5122-26-19 Uniform Cost Reporting form is essential for reporting costs associated with mental health services. This guide will provide clear and comprehensive instructions to help users understand and complete the form accurately.

Follow the steps to successfully complete the form.

1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the reporting period. In the section labeled 'Reporting Period,' fill in the 'From' and 'To' dates indicating the state fiscal year being reported.
3. Next, provide the agency's name and associated budget and actual amounts in the corresponding fields.
4. Input the agency address in the designated space to ensure accurate identification.
5. Identify the type of services provided by selecting or entering the corresponding HCPCS/procedure codes for each service type.
6. Enter the number of units provided for each service type in the designated 'No. of Units' field.
7. For each service, record the costs in the designated fields—direct personnel and non-personnel costs for both Direct Service and Support Service.
8. Calculate and fill in the total costs for each service by summing the relevant costs in the appropriate columns.
9. Complete Form A-2 for personnel costs, ensuring to categorize costs accurately as direct or support service personnel.
10. Complete Form A-3 for non-personnel costs, accurately reporting and categorizing as necessary.
11. Using Form A-4, document administrative overhead costs distribution to allocate costs among the services appropriately.
12. Finally, review the entire form for accuracy, make necessary adjustments, and save changes, download, print, or share the completed form as required.

Complete your documents online to ensure accurate reporting and compliance.