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Certified Nurse Assistant Training Reimbursement Mobile App

The purpose of the Certified Nurse Assistant Training Reimbursement mobile app is to allow the Certified Nurse Assistant (CNA) to present this information to his/her Medicaid and/or Medicare certified nursing facility employer to apply for reimbursement of eligible CNA training and testing costs. Reimbursement is not available to CNAs working in other residential or patient care settings. GoCanvas has a GPS feature to accurately document locations.

  • Lendlease
  • The Cooperative
  • PG&E
  • Red Bull
  • Mirvac

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Take a peek inside the Certified Nurse Assistant Training Reimbursement Mobile App

Included Features

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico statictext

    PURPOSE: The Certified Nurse Assistant (CNA) must present this information to his/her Medicaid an...

  • Ico statictext

    CNA Name

  • Ico textbox

    Social Security Number

  • Ico date

    Birthdate

  • Ico textbox

    Driver License/Identification

  • Ico dropdown

    Expense

  • Ico decimal

    Amount

  • Ico date

    Date of Payment

  • Ico textbox

    Location

  • Ico checkbox

    I have not received any payment for any of these expenses from another source, such as another nu...

  • Ico checkbox

    I have received payment from another source for the listed expenses:

  • Ico decimal

    Amount $

  • Ico date

    Date

  • Ico textbox

    Source

  • Ico signature

    I understand that the information I have provided may be audited.

  • Ico date

    Date

  • Ico statictext

    (Retain this information for documentation of NATCEP costs.

  • Ico textbox

    Facility Name

  • Ico integer

    Provider NPI Number

  • Ico textbox

    LARA - BHS License Number

  • ...and More!

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