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DSC Handbook

PCG is now presenting the DSC Handbook in a new "by chapter" format, intended to make the Handbook easier to update, and to ensure updates are timely. Chapters may now be revised one at a time, and as Program clarifications warrant. Chapter 4 is currently being updated to incorporate NPI and changes required by the new CMS 1500 form. Look for a revised Chapter 4 in the near future.

PCG is always open to feedback and suggestions for improving Program documents. Let us know if the new format is user friendly, or if there is anything we can do to make the Handbook a more valuable tool for school districts, Billers and Program Coordinators.

Florie Wong
Arizona Project Manager
July 18, 2008

2010 DSC Handbook - Full Copy

• Attachment 1: Participation Agreement
• Attachment 2: Guidance for Health Aide Documentation
• Attachment 3: Health Aide Prepayment Review Form
• Attachment 4: Sample Eligibility Match Instructions
• Attachment 5: Sample Student Eligibility Match Template
• Attachment 6: NPI Supplemental Registration Form
• Attachment 7: CMS 1500 Form (08-05)
• Attachment 8: Biller Authorization Template
• Attachment 9: Stale Check Replacement Form
• Attachment 10: Certification of Match Verification Instructions
• Attachment 11: Certification of Match Verification Worksheet
• Attachment 12: Electronic Signature Questionnaire with Instructions

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