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The affidavit at the end of form DOH-793B-MLTC must be completed by each individual. Without all signed notarized affidavits the application will be considered incomplete. 5 b 5 and 98-1. 11 h through s of 10 NYCRR. C-1. Instructions for completion of Form DOH-793B-MLTC All members of the governing body officers directors and controlling persons. Health. state. ny. us/healthcare/managedcare/mltc. Non-PACE MLTC APPLICANTS Entities not applying as ...
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What is doh 793a mltc?
Doh 793a mltc is a specific form required by the Department of Health for reporting certain information related to Managed Long Term Care.
Who is required to file doh 793a mltc?
Any entity or organization that provides Managed Long Term Care services is required to file doh 793a mltc.
How to fill out doh 793a mltc?
To fill out doh 793a mltc, you need to provide all the required information as outlined in the form and submit it electronically or by mail to the Department of Health.
What is the purpose of doh 793a mltc?
The purpose of doh 793a mltc is to collect important data and information about Managed Long Term Care services to ensure compliance and regulation.
What information must be reported on doh 793a mltc?
The specific information required to be reported on doh 793a mltc includes details about the provider organization, the types of services provided, the number of clients served, and other relevant data.
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