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The Child and Adult Care Food Program (CA CFP)
Proprietary Title XIX/XX Centers
Addendum to the Claim for Reimbursement
Instructions
This report should be completed only for those centers meeting
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What is proprietary title xixxx centers?
Proprietary title XIX centers refer to healthcare centers that are privately owned and provide services covered under Medicaid.
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Private healthcare providers who offer services covered under Medicaid are required to file proprietary title XIX centers.
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To fill out proprietary title XIX centers, providers must report detailed information about the services offered, patient demographics, and payment received from Medicaid.
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The purpose of proprietary title XIX centers is to track and reimburse healthcare providers for services provided to Medicaid beneficiaries.
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