Get October 11 B2001b - Aaahc

This guide provides a comprehensive overview of how to fill out the October 11 B2001b - Aaahc form online. By following the steps outlined below, users will be able to navigate each section of the form with ease and accuracy.

Follow the steps to successfully complete your application.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred editing tool.
2. In Section A, indicate your organization's relationship with the new site of service. Check all applicable options: 'Owned by', 'Operated by', 'Managed by', or 'Other' with a brief explanation.
3. Navigate to Section B and answer whether the governing body of the accredited organization controls budgetary and resource allocation for the site of service location by selecting 'yes' or 'no'.
4. Continue in Section B by determining if greater than 50% of the same governing body membership is present on both boards. Select 'yes' or 'no' as applicable.
5. Answer additional questions related to the relationship of the accredited organization and the site of service, confirming or denying integration aspects such as physical space, staffing, managerial control, quality programs, billing, and policies.
6. If applicable, proceed to Section C and list all relevant site of service locations, providing necessary details such as names, addresses, phone numbers, and operational specifics.
7. Complete as many additional service location sections as needed, ensuring each is filled in completely, particularly for sites designated as Medical Home or Dental Home.
8. Conclude with Section D by signing and dating the attestation statement, certifying the accuracy and completeness of your application.
9. Once all sections are filled, review for accuracy, then save changes, download a copy, print the form, or share it as needed.

Complete your October 11 B2001b - Aaahc form online today to ensure timely processing of your application.