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Click ‘Get Form’ to open the dhcs 3076 in the editor.
Begin by filling out the 'General Information and Certification' section. Enter the facility name, service level, Medi-Cal provider number, and reporting period dates.
Proceed to Section A—Request for Information. Answer questions regarding financial statements and asset disposals by marking the appropriate boxes.
In Section B—Licensee Description, indicate the type of control and legal organization of your facility by placing an 'X' in the correct columns.
Complete Section C—Facility Census by entering licensed beds at both the beginning and end of the reporting period, along with client days, discharges, and admissions.
For Sections D through J, follow similar instructions to provide detailed information about related organizations, compensation details, income and expenses, reclassifications, and labor reports as required.
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Medi-Cal is Californias version of the Federal Medicaid program. Medi-Cal offers no-cost and low-cost health coverage to eligible people who live in California. The Department of Health Care Services (DHCS) oversees the Medi-Cal program. Your local county office manages most Medi-Cal cases for DHCS.
What is the problem list in Epic?
The PROBLEMLIST table contains data from patients problem lists in the clinical system. The data in this table reflects the current status of all problems on the patients problem list. In the clinical system, each problem is marked as active until it becomes (and is marked) Resolved or Deleted.
What is the 90 day rule for DHCS?
The 90 Day Rule set by the California Board of Behavioral Sciences (BBS) allows candidates to count supervised experience toward licensure when gained during the window of time between the degree award date and the issue date of the associate registration number.
What is included in a problem list?
Problem lists should only include active problems and issues relevant to present and future care. This requires removing problems that are no longer relevant and adding newly diagnosed chronic conditions. In most EHRs, the problem list is used for clinical decision support.
What is the problem list for DHCS?
The problem list is a list that may include symptoms, conditions, diagnoses, social drivers, and/or risk factors identified through assessment, psychiatric diagnostic evaluation, crisis encounters, or other types of service encounters. It may be updated throughout the course of treatment by members of the care team.
An individual or family who lacks adequate nighttime residence; An individual or family with a primary residence that is a public or private place not designed for or ordinarily used for habitation; An individual or family living in a shelter; An individual exiting an institution into homelessness; An
Related links
Cost Report Forms and Documents - DHCS - CA.gov
Jun 23, 2025 The Cost Report requires certain disclosure information and financial operating cost to the facility and the Medi-Cal program. DHCS-3076-ICF-DDH
2017-18 Legislative Summary - GGU Law Digital Commons
by BE Rubio AB 3076 (Reyes) Indian child welfare: legal services. Held on the Senate Appropriations Committee Suspense File. This bill would have required
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