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STATE OF CALIFORNIA DEPARTMENT OF AGING CBA DISCHARGE SUMMARY REPORT CDA 4008 (REV 07/2019)Center Name: NPI: Year: Instructions: Complete this Discharge Summary report by referencing the Discharge
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How to fill out cda 4008 cbas discharge
How to fill out cda 4008 cbas discharge
01
To fill out CDA 4008 CBAS Discharge form, follow these steps:
02
Start by obtaining a copy of the CDA 4008 CBAS Discharge form. This form is typically available from the healthcare facility or organization providing the CBAS services.
03
Begin filling out the form by entering the patient's information, such as their full name, date of birth, and contact details. Ensure that the information provided is accurate and up to date.
04
Next, provide details about the CBAS program, including the program's name, provider number, and the dates of service.
05
Indicate the reason for discharge from the CBAS program. This can be due to various factors, such as improvement in the patient's condition, completion of the program, or transfer to a different care setting.
06
If applicable, provide information about the receiving facility or care setting where the patient will be transferred to after discharge.
07
Include any additional information or comments that may be relevant to the discharge process.
08
Review the completed form to ensure all the necessary information has been provided accurately. Make any necessary corrections or additions if required.
09
Finally, sign and date the form to validate the discharge process. Ensure that the signature is legible and clearly identifies the person responsible for the discharge.
10
Submit the completed CDA 4008 CBAS Discharge form to the relevant healthcare facility or organization as per their instructions.
Who needs cda 4008 cbas discharge?
01
CDA 4008 CBAS Discharge form is needed by individuals or organizations involved in the CBAS (Community-Based Adult Services) program.
02
This includes healthcare facilities, organizations, and providers offering CBAS services, as well as patients who are being discharged from the program.
03
The form is used to document the discharge process, including the reason for discharge and any necessary information about the receiving facility or care setting.
04
It helps ensure proper communication and coordination between the different entities involved in the CBAS program and facilitates a smooth transition for the patient post-discharge.
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What is cda 4008 cbas discharge?
CDA 4008 CBAS discharge is a form used to report information about discharging patients from a mental health facility.
Who is required to file cda 4008 cbas discharge?
The mental health facility staff is required to file cda 4008 CBAS discharge.
How to fill out cda 4008 cbas discharge?
To fill out cda 4008 CBAS discharge, the staff must input patient information, discharge details, and other required data into the form.
What is the purpose of cda 4008 cbas discharge?
The purpose of cda 4008 CBAS discharge is to document and track the discharge of patients from mental health facilities.
What information must be reported on cda 4008 cbas discharge?
On cda 4008 CBAS discharge, information such as patient details, discharge date, reason for discharge, follow-up plans, and more must be reported.
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