If you have any questions, please send an email to: info@HCBSprovider.com
Please choose the correct month for the Report.

You will see blank templates for the services that require monthly reports: Companion (Code 1726), In Home & Community Supports (formerly known as Hab - Code 7060, 7061), Supported Employment (Code 2023, 9794), Community Participation Supports (Code 5996). Respite services do NOT require a monthly report. You will fill out a template for each client and each service. The administrative team will fill out some sections.
(Dental, medical, physical therapy, psychiatry/mental health, occupational therapy, podiatry, nutritionist, etc.)
Please provide your signature above.
If you experience difficulty submitting your monthly report, please email Reports@HCBSprovider.com immediately and explain what happened so that we can assist you.