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.
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.
Form Details:
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.