Get Cdac

This guide provides step-by-step instructions for completing the Consumer-Directed Attendant Care (Cdac) form online. Designed for ease of use, it aims to assist all individuals in accurately filling out the necessary fields and recording vital service information.

Follow the steps to successfully complete the Cdac form online.

1. Press the ‘Get Form’ button to access the Cdac form and open it for editing.
2. In the provider name field, enter your full name including your first, middle initial, and last name.
3. If applicable, input the agency name in the designated field for agency providers.
4. Enter the date on which you provided the service in the daily date of service field, formatted as month, day, and year.
5. Fill in the member's name, including their first name, middle initial, and last name.
6. Provide the member’s Medicaid ID number accurately in the corresponding field.
7. Specify the locations where the service was rendered, such as home, work, or school.
8. Input the AmeriHealth Caritas Iowa member ID number for the person receiving the service.
9. Record the start and end time of your shift, ensuring you indicate whether it is a.m. or p.m.
10. Select and enter the appropriate service code that aligns with the service provided.
11. Document the actual hours you delivered for the service, ensuring an accurate reflection of time worked.
12. Clearly describe the services you performed for the member in the provided space.
13. Illustrate the member's response to the services you provided, including any noted changes.
14. Calculate and enter the total hours of service provided on the form.
15. Sign the form to validate that you are the provider of the services rendered.
16. Finally, input the date that corresponds with when the form was signed, ensuring it matches the service date.

Complete your documents online today to ensure accurate recordings of your services.