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Instructions for Form DHCS3096 Medi-Cal Cost Report - Change in Scope-Of-Service Rquest (Csosr) Freestanding Federally Qualified Health Center (Fqhc) / Rural Health Center (Rhc) Prospective Payment System (Pps) - California
This document contains official instructions for Form DHCS3096 , Medi-Cal Cost Report - Change in Scope-Of-Service Rquest (Csosr) Freestanding Federally Qualified Health Center (Fqhc)/Rural Health Center (Rhc) Prospective Payment System (Pps) - a form released and collected by the California Department of Health Care Services.
FAQ
Q: What is Form DHCS3096?
A: Form DHCS3096 is the Medi-Cal Cost Report - Change in Scope-Of-Service Request (CSOSR) for Freestanding Federally Qualified Health Center (FQHC)/Rural Health Center (RHC) Prospective Payment System (PPS) in California.
Q: What is a CSOSR?
A: CSOSR stands for Change in Scope-Of-Service Request. It is a form that needs to be filled for Medi-Cal Cost Report when requesting a change in the scope of services for a Federally Qualified Health Center (FQHC) or Rural Health Center (RHC) under the Prospective Payment System (PPS).
Q: Who needs to fill out Form DHCS3096?
A: Federally Qualified Health Centers (FQHCs) or Rural Health Centers (RHCs) in California who are under the Prospective Payment System (PPS) need to fill out Form DHCS3096.
Q: What is the purpose of Form DHCS3096?
A: The purpose of Form DHCS3096 is to request a change in the scope of services for a Freestanding Federally Qualified Health Center (FQHC) or Rural Health Center (RHC) under the Prospective Payment System (PPS) in California.
Q: Is Form DHCS3096 specific to California?
A: Yes, Form DHCS3096 is specific to California and is used for Medi-Cal Cost Reporting for Freestanding Federally Qualified Health Centers (FQHCs) or Rural Health Centers (RHCs) under the Prospective Payment System (PPS).
Instruction Details:
- This 10-page document is available for download in PDF;
- Actual and applicable for the current year;
- Complete, printable, and free.
Download your copy of the instructions by clicking the link below or browse hundreds of other forms in our library of forms released by the California Department of Health Care Services.
Download Instructions for Form DHCS3096 Medi-Cal Cost Report - Change in Scope-Of-Service Rquest (Csosr) Freestanding Federally Qualified Health Center (Fqhc) / Rural Health Center (Rhc) Prospective Payment System (Pps) - California
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