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Department of Human Services SHARED CASE FORM (To be completed by CC&R staff) This client has multiple providers with payments made through a CC&R and from a Site contract. If the client's 04, 06,
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The IDHS Shared Case Form is a document used by the Illinois Department of Human Services (IDHS) to collect information about cases where multiple agencies are involved in providing services to a single individual or family.
Agencies and organizations that are involved in providing services to a single individual or family are required to file the IDHS Shared Case Form.
The IDHS Shared Case Form can be filled out by providing the required information about the individuals or family receiving services, as well as the agencies involved. The form may require details such as names, contact information, case numbers, services provided, and the coordinating agency.
The purpose of the IDHS Shared Case Form is to gather comprehensive information about cases involving multiple agencies in order to facilitate coordination of services and ensure effective delivery of support to individuals and families.
The IDHS Shared Case Form typically requires reporting of information such as names of individuals or family members receiving services, contact information, case numbers, services provided, agencies involved, and the coordinating agency.
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