Form CDA255M Mippa Expenditure Report - California

Form CDA255M Mippa Expenditure Report - California

What Is Form CDA255M?

This is a legal form that was released by the California Department of Aging - a government authority operating within California. Check the official instructions before completing and submitting the form.

FAQ

Q: What is Form CDA255M?
A: Form CDA255M is the Mippa Expenditure Report for the state of California.

Q: What is the purpose of Form CDA255M?
A: The purpose of Form CDA255M is to report Mippa expenditures in California.

Q: Who is required to fill out Form CDA255M?
A: Providers who received funding under the Medical Intervention Program for Post Adoption or Mippa program in California are required to fill out Form CDA255M.

Q: When is Form CDA255M due?
A: Form CDA255M is typically due on an annual basis, with the specific due date depending on the reporting period set by the California Department of Aging.

Q: What information is required on Form CDA255M?
A: Form CDA255M requires providers to report various information related to their Mippa expenditures, including program revenue, functional expense categories, and other financial data.

Q: Are there any penalties for not filing Form CDA255M?
A: Failure to file Form CDA255M or filing it late may result in penalties or other consequences, as determined by the California Department of Aging.

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Form Details:

  • Released on September 1, 2021;
  • The latest edition provided by the California Department of Aging;
  • 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 CDA255M by clicking the link below or browse more documents and templates provided by the California Department of Aging.

Download Form CDA255M Mippa Expenditure Report - California

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  • Form CDA255M Mippa Expenditure Report - California, Page 1
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