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Revision: iiCFA-PM-9 1-4.IL!MUST 1 9 9 1 (BPD SUPPLEMENT 4 TO ATTACHMENT 2. 6 — A Page 1 OMB NO.: 0 9 3 8 — STATE PLAN UNDER TITLE XIX OF THE SOCIAL SECURITY ACT state: 'AGE NOT APPLICABLE (CALIFORNIA

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Revis ion - DHCS refers to the process of making changes or updates to documents or data related to the Department of Health Care Services.

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To fill out a revision - DHCS, individuals need to follow the guidelines and instructions provided by the Department of Health Care Services. This may involve updating forms, reports, or other necessary documentation.

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The purpose of a revision - DHCS is to ensure that accurate and up-to-date information is reported to the Department of Health Care Services for regulatory and funding purposes.

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The information that must be reported on a revision - DHCS may include patient data, financial information, compliance documentation, and other relevant details as required by the Department of Health Care Services.

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