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ATTACHMENT VI NOTICE OF DECISION ON YOUR PRESUMPTIVE MEDICAID ELIGIBILITY APPLICATION FOR COVERAGE OF NURSING FACILITY SERVICES OR INPATIENT HOSPICE CARE NOTICE DATE: EFFECTIVE DATE: CASE NUMBER NAME

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What is notice of decision on?

The notice of decision on is a formal document that outlines the decision made by an organization or individual regarding a specific matter.

Who is required to file notice of decision on?

The individual or organization responsible for making the decision is usually required to file the notice of decision on.

How to fill out notice of decision on?

The notice of decision on should be filled out by providing the necessary information such as the decision details, date, and any supporting documentation required.

What is the purpose of notice of decision on?

The purpose of the notice of decision on is to inform relevant parties about a decision made and to provide transparency and accountability.

What information must be reported on notice of decision on?

The notice of decision on should include details such as the decision, reasons for the decision, any conditions or requirements, and contact information for further inquiries.

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