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-01?
A: Form CFC-01 is the Community First Choice Amendment to Service Plan.
Q: Who is the form for?
A: The form is for individuals in Alaska who are enrolled in the Community First Choice program.
Q: What does the form do?
A: The form is used to make changes or additions to an individual's service plan under the Community First Choice program.
Q: Are there any fees associated with submitting the form?
A: No, there are no fees associated with submitting Form CFC-01.
Q: What information is required on the form?
A: The form requires information about the individual, their current service plan, and any changes or additions they would like to make.
Q: How should I submit the completed form?
A: You can submit the completed form by mail, fax, or in person to your local Community First Choice program office.
Q: Is there a deadline for submitting the form?
A: There is no specific deadline for submitting Form CFC-01, but it is recommended to submit any changes or additions to your service plan as soon as possible.
Q: Who should I contact for more information?
A: For more information, you can contact your local Community First Choice program office or the Alaska Department of Health and Social Services.
Form Details:
Download a fillable version of Form CFC-01 by clicking the link below or browse more documents and templates provided by the Alaska Department of Health and Social Services.