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State of California
Department of Health Care Services
Audits and Investigations
Financial Audits Branch |
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Electronic filing of ADHC Annual
Cost Report is now an option |
Avoid the rush and cost of mailing your annual Cost Reports
Please visit our website at
http://www.dhcs.ca.gov/individuals/Pages/AdultDayHealthCare.aspx
ü Download and complete the “Application/Agreement for Electronic Submission of Annual Cost Report”
ü Mail the application to:
California Department of Health Care Services
Audits and Investigations
Audit Review and Analysis Section
Attention: Adult Day Health Care
1500 Capitol Avenue, MS 2100
P.O. Box 997413
Sacramento, CA 95899-7413
ü The application will be reviewed and, upon approval, an e-mail confirmation will be sent. If you do not hear from us within two weeks, please send an inquiry to the e-mail inbox noted below.
ü The Application/Agreement must be mailed to our offices in order to maintain an original signature on file...electronic applications will not be accepted nor approved.
ü If you have any questions, please use our e-mail inbox at:
ADHC@DHCS.CA.GOV