Get Pacdaa

Filling out the Pacdaa form online is an essential process for providers seeking to offer SCA covered treatment services. This guide will walk you through each section of the form, ensuring that you can complete it accurately and efficiently.

Follow the steps to successfully complete the Pacdaa form.

1. Click the ‘Get Form’ button to access the Pacdaa form and open it in the designated online editor.
2. Begin with the top section of the form, where you will enter your organization's name and contact information. Ensure that all details are accurate and up to date.
3. Proceed to the fields requiring details about the specific SCA covered non-hospital treatment services your agency intends to provide. Be prepared to specify whether you are offering detoxification, residential, or halfway house treatment services.
4. Continue by filling out the financial information, including any per diem rate requests. Make sure to provide clear and thorough explanations for the proposed rates.
5. Review any additional documentation requirements outlined in the form. If your agency is proposing multiple treatment services, ensure that you complete the necessary forms for each service.
6. After filling out all required sections, review the form for accuracy. Ensure all required fields are completed and that you have included any necessary attachments.
7. Once you have confirmed that all information is correct, you can save your changes, download the completed form, print it for your records, or share it with others as needed.

Take the next step and complete the Pacdaa form online today.