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Mi cdc 2026
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- Click ‘Get Form’ to open the mi cdc in the editor.
- Begin by entering your Provider Name and Provider ID Number at the top of the form. Ensure that the ID number is the 7-digit number from your DHS-198 authorization.
- Fill in the Pay Period Number corresponding to your billing dates, and indicate the Page Number if you are using multiple pages for more than four children.
- For each child, enter their Full Name in alphabetical order, followed by Begin Time and End Time for their attendance. Remember to specify AM or PM clearly.
- Record any Absence Hours for each child as needed, ensuring they do not exceed 360 hours per fiscal year. Initials from a parent or authorized representative are required for verification.
- Finally, sign and date the form at the bottom, and include your Confirmation Number found on your DHS-105 invoice.
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