Get Mo Healthnet For Kids Data Collection As Per Section 208658 Rsmo - Dese Mo

Filling out the MO HealthNet For Kids Data Collection form is a crucial step for local education agencies to report on the health coverage status of students. This guide provides detailed, user-friendly instructions to help you complete the form online efficiently.

Follow the steps to successfully complete the MO HealthNet For Kids Data Collection form online.

1. Click the ‘Get Form’ button to access the form. This will allow you to open the document in your preferred online editor.
2. Begin by entering the local education agency (LEA) name in the designated field.
3. Provide the LEA contact person's name and their phone number so that any necessary follow-up can take place.
4. Fill in the agreement number associated with your agency to ensure accurate processing of your submission.
5. Indicate the initial due date prominently. Please note that if the initial due date has passed, information must be submitted as a revised document.
6. Complete the number of families who indicated the absence of healthcare insurance. This information should be gathered from the ‘Request for Information’ form.
7. Next, enter the number of families who received the MO HealthNet for Kids form provided by the Department of Social Services.
8. Review all of your entries for accuracy. If necessary, make any corrections prior to submission.
9. Once all fields are filled out correctly, save your changes, download a copy for your records, and print the form as needed.
10. Finally, submit the completed form either by mail or fax to the Food and Nutrition Services Section, using the provided contact details.

Complete your form now to ensure timely processing and compliance with reporting requirements.