Instructions for Form DHCS3076 Medi-Cal Program Cost Report - Intermediate Care Facility for the Developmentally Disabled - California

Form DHCS3076 Intermediate Care Facility for the Developmentally Disabled Habilitative/Nursing (Icf-Ddh/N) Cost Report - California

This document contains official instructions for Form DHCS3076 , Medi-Cal Program Cost Report - Intermediate Care Facility for the Developmentally Disabled - a form released and collected by the California Department of Health Care Services. An up-to-date fillable Form DHCS3076 is available for download through this link.

Instruction Details:

• This 8-page document is available for download in PDF;
• Actual and applicable for the current year;
• Complete, printable, and free.

Download your copy of the instructions by clicking the link below or browse hundreds of other forms in our library of forms released by the California Department of Health Care Services.