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Instructions for Form F-11023A Cost Report for Provider-Based Rural Health Clinics (Affiliated Hospital Having 50 or Fewer Beds) - Wisconsin
This document contains official instructions for Form F-11023A , Cost Report for Provider-Based Rural Health Clinics (Affiliated Hospital Having 50 or Fewer Beds) - a form released and collected by the Wisconsin Department of Health Services.
FAQ
Q: What is Form F-11023A?
A: Form F-11023A is a cost report for provider-based rural health clinics.
Q: Who needs to file Form F-11023A?
A: Provider-based rural health clinics affiliated with hospitals having 50 or fewer beds in Wisconsin need to file Form F-11023A.
Q: What is the purpose of Form F-11023A?
A: The purpose of Form F-11023A is to report the costs incurred by provider-based rural health clinics.
Q: When is the deadline for filing Form F-11023A?
A: The deadline for filing Form F-11023A is typically specified by the Wisconsin Department of Health Services.
Q: Are there any filing fees for Form F-11023A?
A: No, there are no filing fees for Form F-11023A.
Q: Are there any penalties for late filing of Form F-11023A?
A: Penalties may apply for late filing of Form F-11023A. It is important to submit the form by the specified deadline.
Q: Who can I contact for assistance with Form F-11023A?
A: For assistance with Form F-11023A, you can contact the Wisconsin Department of Health Services or refer to the instructions provided with the form.
Instruction Details:
- This 2-page document is available for download in PDF;
- Actual and applicable for the current year;
- Complete, printable, and free.
Download your copy of the instructions by clicking the link below or browse hundreds of other forms in our library of forms released by the Wisconsin Department of Health Services.
Download Instructions for Form F-11023A Cost Report for Provider-Based Rural Health Clinics (Affiliated Hospital Having 50 or Fewer Beds) - Wisconsin
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