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This version of the form is not currently in use and is provided for reference only. Download this version of
Form DHCS5260
for the current year.
Form DHCS5260 County Approver Certification & Vendor Appointment Form for Access to Substance Use Disorder Cost Report System (Sudcrs) - California
What Is Form DHCS5260?
This is a legal form that was released by the California Department of Health Care Services - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is DHCS5260?
A: DHCS5260 is the County Approver Certification & Vendor Appointment form for Access to Substance Use Disorder Cost Report System (SUDCRS) in California.
Q: What is the purpose of DHCS5260?
A: The purpose of DHCS5260 is to certify county staff as County Approvers and designate vendor appointments for accessing the Substance Use Disorder Cost Report System (SUDCRS).
Q: Who needs to fill out DHCS5260?
A: County staff who are responsible for approving and accessing the Substance Use Disorder Cost Report System (SUDCRS) need to fill out DHCS5260.
Q: What is the Substance Use Disorder Cost Report System (SUDCRS)?
A: The Substance Use Disorder Cost Report System (SUDCRS) is a system in California that collects cost reports from substance use disorder providers for reimbursement purposes.
Form Details:
- Released on June 1, 2016;
- The latest edition provided by the California Department of Health Care Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form DHCS5260 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.
