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Ohio Department of Job & Family Services. Medical Systems Application Development ... HATTIE LATHAM CENTER FOR CHILDREN WITH DISABILITIES.

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What is icf-mr cms 12-31?

ICF-MR CMS 12-31 refers to the Cost Report form for Intermediate Care Facilities for Individuals with Intellectual Disabilities.

Who is required to file icf-mr cms 12-31?

All Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF-IID) are required to file the CMS 12-31 form.

How to fill out icf-mr cms 12-31?

Providers must complete the CMS 12-31 form with accurate financial and statistical information relating to the care provided at the facility.

What is the purpose of icf-mr cms 12-31?

The purpose of the CMS 12-31 form is to report the costs and services provided by ICF-IID facilities for reimbursement and regulatory purposes.

What information must be reported on icf-mr cms 12-31?

The CMS 12-31 form requires information on facility costs, resident days, patient demographics, staffing levels, and other relevant operational data.

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