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MA 903-1 Department of Public Health and Human Services Section: MEDICAL ASSISTANCE Subject: RESIDENTIAL MEDICAL INSTITUTIONS Resource Assessments Supersedes: MA 903-1 (01/01/08) Reference: 42 U.S.C.
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903-1 - dphhs home is a form used to report information on home and community-based services provided by the Department of Public Health and Human Services.
Providers of home and community-based services are required to file 903-1 - dphhs home.
To fill out 903-1 - dphhs home, providers need to report information such as types of services provided, number of clients served, and other relevant data as outlined in the form.
The purpose of 903-1 - dphhs home is to track and monitor the delivery of home and community-based services and ensure compliance with regulations.
Providers must report information such as types of services provided, number of clients served, staff qualifications, and any incidents or complaints related to the services.
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