This is a legal form that was released by the California Department of Health Care Services - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is DHS4496?
A: DHS4496 is a form used for the American Indian Infant Health Initiative (Aiihi) Quarterly Progress Report.
Q: What is the American Indian Infant Health Initiative (Aiihi)?
A: The Aiihi is a program that focuses on improving the health outcomes of American Indian infants.
Q: What is the purpose of the Quarterly Progress Report?
A: The Quarterly Progress Report is used to track and report the progress of the Aiihi program in California.
Q: Who is required to complete the DHS4496 form?
A: The DHS4496 form is completed by organizations or individuals involved in the Aiihi program in California.
Q: What information is included in the Quarterly Progress Report?
A: The report includes information on program activities, outreach efforts, services provided, and outcomes achieved.
Q: How often is the Quarterly Progress Report submitted?
A: The report is submitted every quarter to track the progress of the Aiihi program.
Q: Is the DHS4496 form specific to California?
A: Yes, the form is specific to the California implementation of the Aiihi program.
Download a fillable version of Form DHS4496 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.