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Idaho Special Rate Request Form - Skilled Nursing Facility - Idaho
Idaho Special Skilled Nursing Facility is a legal document that was released by the Idaho Department of Health and Welfare - a government authority operating within Idaho.
FAQ
Q: What is the Idaho Special Rate Request Form?
A: It is a form used by Skilled Nursing Facilities in Idaho to request a special rate.
Q: Who can use the Idaho Special Rate Request Form?
A: Skilled Nursing Facilities in Idaho.
Q: What is the purpose of the form?
A: To request a special rate for skilled nursing services.
Q: Is there a fee for submitting the form?
A: No, there is no fee for submitting the form.
Q: What information is required on the Idaho Special Rate Request Form?
A: The form requires information about the facility, services provided, patient demographics, and justification for the special rate request.
Q: How long does it take to process the form?
A: The processing time may vary, but it generally takes several weeks to review and make a decision on the special rate request.
Q: Who should I contact if I have questions about the Idaho Special Rate Request Form?
A: You can contact the Idaho Department of Health and Welfare for assistance with the form.
Form Details:
- Released on October 1, 2012;
- The latest edition currently provided by the Idaho Department of Health and Welfare;
- Ready to use and print;
- Easy to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Idaho Department of Health and Welfare.
Download Idaho Special Rate Request Form - Skilled Nursing Facility - Idaho
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