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NEW YORK STATE SCHEDULE OMRDD3 HUD REVENUES AND EXPENSES CONSOLIDATED FISCAL REPORT For the Period: July 1, 2009, to June 30, 2010-Page AGENCY NAME: PROGRAM TYPE & CODE NUMBER: AGENCY CODE: MEDICAID

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What is omrdd-3 - new york?

The OMRDD-3 form, also known as OPWDD - Individual Incident Report, is a document used in the state of New York to report incidents involving individuals with developmental disabilities.

Who is required to file omrdd-3 - new york?

Providers of services to individuals with developmental disabilities in New York are required to file the OMRDD-3 form.

How to fill out omrdd-3 - new york?

To fill out the OMRDD-3 form, you need to provide details about the individual involved, the nature of the incident, any injuries or medication administered, and any actions taken by staff or witnesses.

What is the purpose of omrdd-3 - new york?

The purpose of the OMRDD-3 form is to document and report incidents involving individuals with developmental disabilities in order to ensure their well-being and safety.

What information must be reported on omrdd-3 - new york?

The OMRDD-3 form requires reporting of information such as the individual's name, date of birth, incident date and time, a description of the incident, any injuries sustained, and any actions taken.

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