Form SFN247 Minimum Data Set (Mds) Appeal Request - North Dakota

What Is Form SFN247?

This is a legal form that was released by the North Dakota Department of Health and Human Services - a government authority operating within North Dakota. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form SFN247?
A: Form SFN247 is the Minimum Data Set (MDS) Appeal Request form.

Q: What is the purpose of Form SFN247?
A: The purpose of Form SFN247 is to appeal the Minimum Data Set (MDS) assessment in North Dakota.

Q: What is the Minimum Data Set (MDS)?
A: The Minimum Data Set (MDS) is a standardized assessment tool used to collect information about residents in long-term care facilities.

Q: Who can use Form SFN247?
A: Form SFN247 can be used by long-term care facility residents or their authorized representatives to appeal the MDS assessment in North Dakota.

Q: What information is required on Form SFN247?
A: Form SFN247 requires information about the resident, the facility, the reason for the appeal, and any supporting documentation.

Q: How should Form SFN247 be submitted?
A: Form SFN247 should be submitted to the North Dakota Department of Health either by mail or fax.

Q: What happens after submitting Form SFN247?
A: After submitting Form SFN247, the North Dakota Department of Health will review the appeal and make a determination.

Q: Is there a deadline for submitting Form SFN247?
A: Yes, there is a deadline for submitting Form SFN247. It must be submitted within 30 days of the receipt of the Notice of Assessment.