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01. Edit your cdac agreement online
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How to use or fill out 470 3372 with our platform
- Click ‘Get Form’ to open the 470 3372 in the editor.
- Begin by entering the 'Name of Member' and 'Name of CDAC Provider' at the top of the form. Ensure that all names are spelled correctly for accurate processing.
- In the 'Agreement' section, both the member and CDAC provider must review and confirm their understanding of responsibilities. This includes detailing emergency plans and evaluating the provider's qualifications.
- Fill out the 'Standards for the CDAC provider' section, ensuring to check off necessary skills and provide documentation evidence as required.
- Complete the service activities provided by entering time requirements for each activity listed under non-skilled and skilled service components.
- Finally, ensure all signatures are obtained from the member, CDAC provider, and case manager before submitting. Save your completed form securely within our platform for future reference.
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