Post-Payment Reporting Guidance
Clinic Workforce Stabilization Retention Payments (CWSRP)
Qualified clinics receiving a payment for employees must attest that the payment was made within 60 days of receiving funds to approved eligible employees. The post-payment report must be submitted to the Department of Health Care Services (DHCS) within 90 days from receipt of funds, using the attestation link provided to the entity's designated contact via email message sent from CWSRP@dhcs.ca.gov.
Submission of Post-Payment Distribution Report
An attestation link will be sent to the entity's designated contact along with the Payment Detail Report via email from CWSRP@dhcs.ca.gov after the payment has been issued. The following information is required to be collected as a part of the post-payment report/attestation:
Total amount of funds distributed to eligible employees
Date the last payment was issued to your employees
Amount of undeliverable/excess funds returned to DHCS (if applicable)
Date excess amount was returned to DHCS (if applicable)
Attester name and title
To complete the report, you will be asked to confirm and attest that the information you have entered is true, accurate, and complete to the best of your knowledge by entering your first and last name and your title within the organization.
Attestation Statement:
I, under the laws of the State of California, declare under penalty of perjury that the allocated amount received from the Department of Health Care Services (DHCS) has been issued to the eligible employees. All information I have provided above is true, accurate, and complete to the best of my knowledge. Additionally, I have sent the excess amount and the required details to the address mentioned in the Returned Check Guidance section.
I am authorized to submit this information on behalf of the entity. I understand that by typing the first and last name in the box below constitutes my electronic signature.
