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Get Section 4 Targeted Case Management Cost Report - Department Of ... - Dhcs Ca
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How to fill out the Section 4 Targeted Case Management Cost Report - Department Of ... - Dhcs Ca online
This guide provides a clear and comprehensive overview of how to successfully complete the Section 4 Targeted Case Management Cost Report online. By following the outlined steps, users can ensure accurate submission to the Department of Health Services.
Follow the steps to complete your targeted case management cost report.
- Click 'Get Form' button to access the Section 4 Targeted Case Management Cost Report form and open it in your preferred editing platform.
- Gather the necessary financial documents, including the prior fiscal year trial balance and general ledger account groups. These will be needed to accurately report costs.
- Begin filling out Worksheet A, which includes documenting all TCM and non-TCM costs. Ensure that each line in this Worksheet reflects appropriate data according to your records.
- Complete Worksheet B for all TCM-related revenue adjustments. Verify that these adjustments align with your financial records.
- Proceed to Worksheet C to implement any reclassifications based on your annual time survey results. Make sure to enter cost increases clearly as required.
- Fill out Worksheet D, providing an outline of any adjustments to your expenses. Document these accordingly to support your entries on Worksheet A.
- Ensure that the certification statement is properly signed and dated by the designated representative before submitting the form.
- Once finished, review all sections for accuracy and completeness. Save changes, and prepare to download, print, or share the form as needed.
Complete your Section 4 Targeted Case Management Cost Report online today to meet submission deadlines.
Get the Care You Need Our Complex Care Management (CCM) Program was designed to assist Members who are ill. This includes a serious illness, like heart disease, lung disease, kidney disease, AIDS, Hepatitis C, spinal injury or any other chronic uncontrolled condition.
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