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ANDREAS MALONE Case Summary: Andreas (age 79) is a current MA/CMB enrolled using an age 65 and over basis of eligibility. He is requesting payment of LTC services for residence in the Lyngblomsten
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DHS 3543 is a form used to report specific incidents and events that occur in certain licensed facilities or agencies.
Facilities or agencies that hold a license and are regulated by the Department of Human Services (DHS) are required to file DHS 3543.
DHS 3543 should be filled out by providing all the necessary information requested on the form, including details about the incident or event being reported.
The purpose of DHS 3543 is to ensure that licensed facilities or agencies are reporting incidents and events in a timely and accurate manner to the Department of Human Services.
DHS 3543 requires the reporting of specific information such as the nature of the incident, individuals involved, date and time of occurrence, and any actions taken in response to the incident.
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