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SPECIAL CONSIDERATION BASE HOSPITAL REQUEST FORM Name Telephone Number Base Hospital Requested This form (along with your documentation) will be used in reviewing your reason(s) for the requested

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What is special consideration base hospital?

Special consideration base hospital is a designation given to hospitals that meet certain criteria set by the government.

Who is required to file special consideration base hospital?

Hospitals that meet the criteria for special consideration base hospital are required to file for this designation.

How to fill out special consideration base hospital?

To fill out special consideration base hospital, hospitals must provide necessary information and documentation required by the government.

What is the purpose of special consideration base hospital?

The purpose of special consideration base hospital is to recognize hospitals that excel in certain areas of healthcare.

What information must be reported on special consideration base hospital?

Information such as patient outcomes, quality of care, and hospital practices must be reported on special consideration base hospital.

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