TX HHS Form 3072. Monthly Financial Report

The TX HHS Form 3072, Monthly Financial Report, is a crucial tool for tracking and reporting expenditures related to the County Indigent Health Care Program (CIHCP). This form helps solve the problem of ensuring accurate and timely financial reporting for state assistance funds. It is typically used by county health departments and other organizations participating in the CIHCP program.

The report requires submission of reimbursable expenditures, including amounts from General Revenue Tax Levy (GRTL) funds, as well as eligibility and reimbursement information. The form also includes a section for expenditure tracking and a signature block for the person submitting the report. Additionally, it provides space for reviewing findings and identifying any discrepancies or issues.

This form is essential for ensuring compliance with state fiscal year requirements and for monitoring program expenditures. Key features include:

• Required information: reimbursable expenditures, eligibility and reimbursement details, and expenditure tracking
• Situations where the form is used: monthly reporting for state assistance funds
• Responsibilities: submission by county health departments or other participating organizations