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INSTRUCTIONS FOR COMPLETING THE NY MEDICAID ENROLLMENT FORM FOR THOSE WHO ONLY ORDERREFERATTENDPRESCRIBE 1. General Instructions: Complete ALL items on the form unless otherwise instructed below**.
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Those who only orderreferattendprescribe are healthcare providers who solely provide medical orders, referrals, attendance, and prescriptions for patients.
Healthcare providers who only orderreferattendprescribe are required to file this information.
Those who only orderreferattendprescribe can be filled out by providing detailed information about the medical orders, referrals, attendance, and prescriptions provided to patients.
The purpose of documenting those who only orderreferattendprescribe is to ensure accurate record-keeping and compliance with healthcare regulations.
Information such as the patient's details, medical orders, referrals, attendance records, and prescriptions must be reported on those who only orderreferattendprescribe.
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