xlsx

Sample spread sheet : OHH Attestation for Service/Billing Month of 6/21/19-7/20/19 Organization Name Enter attestation date in each member’s appropriate Level of Care, as of July 20th (only one entry per member)

Sample spreadsheet: NOTES: ** These services may be delivered face-to-face, via phone or other media, and in any community location where confidentiality can be maintained, as clinically appropriate. Some examples of “other covered services” would include, but are not limited to: Case Management Care Coordination Health Promotion Individual and Family Support Services Peer Counseling Health