This is a legal form that was released by the Alaska Department of Health and Social Services - a government authority operating within Alaska. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form CFC-04 (PCA-07)?
A: Form CFC-04 (PCA-07) is a contract used in Alaska for Consumer Directed Personal Care Services (CDPCS) and Community First Choice Consumer Directed Personal Care Services (CFC/CDPCS) recipients and CDPCS or CFC/CDPCS provider agencies.
Q: Who uses Form CFC-04 (PCA-07)?
A: Form CFC-04 (PCA-07) is used by recipients of CDPCS and CFC/CDPCS services in Alaska, as well as the provider agencies for these services.
Q: What is the purpose of Form CFC-04 (PCA-07)?
A: Form CFC-04 (PCA-07) is used to establish and document the contractual agreement between the recipient of CDPCS or CFC/CDPCS services and the provider agency.
Q: Are there any other similar forms for CDPCS and CFC/CDPCS services in Alaska?
A: Yes, there are other forms such as forms for enrollment, assessment, and authorization of services in the CDPCS and CFC/CDPCS programs. These forms may vary depending on the specific requirements of the program.
Form Details:
Download a fillable version of Form CFC-04 (PCA-07) by clicking the link below or browse more documents and templates provided by the Alaska Department of Health and Social Services.