Form ODM03621 Addendum to Odm 03623 for Nursing Facilities (Nfs): Pediatric Outlier Services - Ohio

Form ODM03621 Addendum to Odm 03623 for Nursing Facilities (Nfs): Pediatric Outlier Services - Ohio

What Is Form ODM03621?

This is a legal form that was released by the Ohio Department of Medicaid - a government authority operating within Ohio. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is ODM03621 Addendum?
A: ODM03621 Addendum is a document specifically for nursing facilities in Ohio.

Q: What is the purpose of ODM03621 Addendum?
A: The purpose of ODM03621 Addendum is to provide additional guidelines and information related to pediatric outlier services in nursing facilities.

Q: What are pediatric outlier services?
A: Pediatric outlier services are specialized services provided to children in nursing facilities who have complex medical needs.

Q: Who is ODM03621 Addendum applicable to?
A: ODM03621 Addendum is applicable to nursing facilities in Ohio that provide pediatric outlier services.

Q: What does ODM03621 Addendum contain?
A: ODM03621 Addendum contains specific instructions, requirements, and payment models for nursing facilities offering pediatric outlier services.

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Form Details:

  • Released on July 1, 2014;
  • The latest edition provided by the Ohio Department of Medicaid;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form ODM03621 by clicking the link below or browse more documents and templates provided by the Ohio Department of Medicaid.

Download Form ODM03621 Addendum to Odm 03623 for Nursing Facilities (Nfs): Pediatric Outlier Services - Ohio

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