Get Ccs Numbered Letter 35-0994. Revised Diagnostic, Treatment, And Therapy Expenditure Claim Forms For

This guide provides a clear, step-by-step approach to successfully complete the CCS Numbered Letter 35-0994, which includes revised diagnostic, treatment, and therapy expenditure claim forms. Users will find support and guidance tailored to their needs, ensuring accurate submissions online.

Follow the steps to effectively complete the claim forms online.

1. Click the ‘Get Form’ button to access the CCS Numbered Letter 35-0994 and open it in your preferred document editor.
2. Carefully read the general instructions included in the letter to familiarize yourself with requirements for filling out the forms.
3. Enter the heading information, including your county name, fiscal year, and the dates for the reporting period.
4. Complete Part 1 - Summary of Diagnostic and Treatment Expenditures by entering total amounts from the MR-O-940 report.
5. For Gross Diagnostic Expenditures, sum the diagnostic services costs and record the total accurately.
6. Repeat the previous step for Gross Treatment Expenditures, ensuring to account for miscellaneous revenue and uncashed warrants.
7. Calculate the total amounts for all fees collected, including any adjustments as necessary.
8. Finalize the summary by calculating net expenditures due to the state or county, and enter the name and contact information of the person responsible for the report.
9. Before submitting your claim, review all entries for accuracy to prevent delays in reimbursement.
10. Once completed, save your changes and consider downloading or printing a copy for your records.

Complete your CCS Numbered Letter 35-0994 forms online today to ensure timely processing of your claims.