Adult Day Services Retroactive Payments - Supplemental Schedule B Cost Reporting Form

California Correctional Health Care Services

This government document is issued by California Correctional Health Care Services for use in California

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File Details: XLS (53 KB)
Downloads: 38
Source
http://www.dhcs.ca.gov/formsandpubs/forms/Documents/ANI/DHCS_3076B_Supplemental_Sch_ICF-DD.xls

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