2023 Home Help Payment Schedule - Michigan
The DHS-1356 is your guide for submitting Home Help service verifications in Michigan. This document outlines the payment schedule and submission instructions for service verifications (ESVs/PSVs). Utilize this form to ensure timely payments for provided services.
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How do I fill this out?
To fill out this form, start by entering the month services were provided. Then, complete the required sections with accurate details of the service verifications. Finally, submit the form through the CHAMPS system on or before the given deadlines.

How to fill out the 2023 Home Help Payment Schedule - Michigan?
1
Enter the month services were provided.
2
Fill in all required sections accurately.
3
Review your inputs for any errors.
4
Submit the form on the appropriate date.
5
Keep a copy for your records.
Who needs the 2023 Home Help Payment Schedule - Michigan?
1
Home health care providers who need to verify services.
2
Individuals receiving home help services to track payments.
3
Social workers assisting clients in processing payments.
4
Financial coordinators managing home services accounts.
5
Family members overseeing care for loved ones.
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What are the instructions for submitting this form?
To submit the DHS-1356 form, fax your completed document to 517-763-0111 or mail it to MDHHS Adult Home Help, PO Box 26007, Lansing, Michigan 48909. For inquiries, reach out by calling 800-979-4662 or emailing ProviderSupport@michigan.gov. It is advisable to keep copies of submitted documents for your records.
What are the important dates for this form in 2024 and 2025?
Important dates for 2024 and 2025 include monthly submission deadlines for service verifications. Key dates include January 1-6, due January 13, and so forth through the year. Always check the individual month for exact deadlines to avoid payment delays.

What is the purpose of this form?
The purpose of the DHS-1356 form is to facilitate the verification of home help services provided in Michigan. It acts as a crucial tool for ensuring that workers are compensated promptly for their services. Compliance with the deadlines outlined in this form is essential for maintaining the funding of services provided to individuals.

Tell me about this form and its components and fields line-by-line.

- 1. Month Services Provided: This section requires the month when services were rendered.
- 2. Service Verification Dates: Dates indicating when the services were offered must be entered.
- 3. Payment Information: Information about expected payment dates based on submission.
What happens if I fail to submit this form?
Failure to submit this form may lead to delays in receiving payment for services provided. It is critical to adhere to the submission deadlines to ensure timely processing.
- Delayed Payments: Late submissions result in postponed payments which can affect cash flow for care providers.
- Service Verification Issues: Missing or incorrect information can complicate the verification of services.
- Impact on Clients: Delays can impact the clients who rely on timely payments for their care.
How do I know when to use this form?

- 1. Monthly Service Verification: Use this form every month to verify services for payment.
- 2. Provider Payment Management: Essential for managing the financial aspects of home help services.
- 3. Compliance with MDHHS: Necessary for ensuring compliance with state health department requirements.
Frequently Asked Questions
How do I submit my form?
You can submit your form electronically through the CHAMPS system or by faxing it to the designated number.
What is the deadline for submitting the form?
Forms must be submitted by 1 PM on the specified Friday to avoid delays.
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How do I contact support?
You can contact support via our website for any queries regarding your documents.
What happens if I submit late?
Late submissions may result in delayed payments, so be sure to submit on time.
Can I share my edited PDF?
Absolutely! You can share your edited PDF via email or social media.
How do I access the signing feature?
The signing feature is available right after you upload your PDF on PrintFriendly.
What are the requirements for filling out the form?
Ensure all required fields are filled accurately with the correct service dates.
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Yes, we have a tutorial section on our website for new users.
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