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The document outlines the requirements checklist for participation in the Targeted Case Management (TCM) Program by the California Department of Health Care Services. It specifies various required items, their due dates, and references relevant regulations and policies to ensure compliance for providers.

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Click ‘Get Form’ to open the Targeted Case Management (TCM) Program Requirements Checklist in the editor.
Review each required item listed in the checklist. Ensure you understand what documents are needed, such as the Cost Report and Time Survey.
Fill in the due dates for each item as specified. For example, note that the Cost Report is due on July 1 of each fiscal year.
Utilize our platform's text fields to input any necessary information related to your agency’s compliance with the TCM requirements.
If applicable, upload supporting documents directly through our editor by selecting the upload option next to each requirement.
Once all fields are completed, review your entries for accuracy before saving or exporting your filled form.

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