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This document outlines the terms of a contract for the provision of supplemental board and care services to mental health patients, including details on payment, services to be rendered, and compliance
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How to fill out FY 2012-13 Supplemental Rate Program Services-As-Needed Contract with Great Expectations Home & Care

01
Gather all necessary documents related to the Supplemental Rate Program.
02
Review the contract guidelines provided by Great Expectations Home & Care.
03
Complete the contract form with accurate personal and service information.
04
Specify the services required under the 'As-Needed' clause.
05
Ensure that all financial details are clearly stated, including rates and payment terms.
06
Attach any required supporting documentation to the contract.
07
Double-check for any required signatures and dates.
08
Submit the completed contract to Great Expectations Home & Care by the deadline.

Who needs FY 2012-13 Supplemental Rate Program Services-As-Needed Contract with Great Expectations Home & Care?

01
Individuals or families seeking home care services.
02
Care providers wanting to offer supplemental services under the contract.
03
Social workers or case managers coordinating care for clients.
04
Organizations involved in providing home and care services.
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The FY 2012-13 Supplemental Rate Program Services-As-Needed Contract with Great Expectations Home & Care is a contractual agreement that outlines the provision of additional services on an as-needed basis for clients requiring care in that period.
Service providers and vendors that deliver care services under the Supplemental Rate Program during the fiscal year 2012-13 are required to file this contract.
To fill out the contract, providers must complete sections including service details, client information, billing rates, and any specific terms required by Great Expectations Home & Care, ensuring all information is accurate and properly documented.
The purpose of the contract is to formalize the terms of service delivery, ensuring that additional care services can be accessed efficiently as needed, while also ensuring compliance with regulations and funding requirements.
Information that must be reported includes the nature and extent of services provided, client demographics, billing amounts, service dates, and any changes to care plans or needs.
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