Instructions for Form DHCS3078 Federally Qualified Health Center / Rural Health Clinic Dental Hygienist Services Alternate Payment Methodology Worksheet - California

This document contains official instructions for Form DHCS3078 , Federally Qualified Health Center/Rural Health Clinic Dental Hygienist Services Alternate Payment Methodology Worksheet - a form released and collected by the California Department of Health Care Services.

FAQ

Q: What is the purpose of Form DHCS3078?
A: Form DHCS3078 is used for the Alternate Payment Methodology (APM) for Dental Hygienist Services provided by Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) in California.

Q: What is an APM for Dental Hygienist Services?
A: APM stands for Alternate Payment Methodology and it refers to a payment arrangement for Dental Hygienist Services provided by FQHCs and RHCs.

Q: Who can use this form?
A: FQHCs and RHCs in California can use Form DHCS3078 for reporting their Dental Hygienist Services under the APM.

Q: When should this form be submitted?
A: This form should be submitted on a quarterly basis, within 30 days following the end of each calendar quarter.

Q: What information needs to be included in the form?
A: The form requires FQHCs and RHCs to provide details on the number of Dental Hygienist Services delivered, the associated costs, and other related information.

Q: Is there any fee associated with submitting this form?
A: No, there is no fee associated with submitting this form.