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AHC CCS MEDICAL POLICY MANUAL CHAPTER 961, Exhibit 9614, Community Service Agency, Self Declaration of Criminal HistoryName of Direct Service Person:Title of Position:Address: City: State: Zip: County:
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Individuals who require direct care services for themselves or their dependents.
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What is 1240-a direct care services?
1240-a direct care services refer to services provided directly by care providers to individuals in need of support and assistance.
Who is required to file 1240-a direct care services?
Care providers and agencies that offer direct care services are required to file 1240-a direct care services.
How to fill out 1240-a direct care services?
To fill out 1240-a direct care services, providers need to document the services provided, hours worked, and any other relevant details on the specified form.
What is the purpose of 1240-a direct care services?
The purpose of 1240-a direct care services is to ensure transparency and accountability in the provision of direct care services and to track the quality of care provided.
What information must be reported on 1240-a direct care services?
Providers must report details such as the type of services provided, hours worked, client demographics, and any outcomes or progress achieved.
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