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Revision: HCFAPM914 (BPD) AUGUST 1991 SUPPLEMENT 1 to ATTACHMENT 2.6A Page 1 STATE PLAN UNDER TITLE XIX OF THE SOCIAL SECURITY ACT State/Territory: SOUTH DAKOTA INCOME ELIGIBILITY LEVELS Page 1 is
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What is revision hcfa-pm-91-4 bpd supplement?
Revision hcfa-pm-91-4 bpd supplement is a form used to submit additional information or corrections to a previously filed HCFA-PM-91-4 BPD form.
Who is required to file revision hcfa-pm-91-4 bpd supplement?
Any entity or individual who needs to update or correct information provided in the original HCFA-PM-91-4 BPD form is required to file the revision.
How to fill out revision hcfa-pm-91-4 bpd supplement?
To fill out the revision hcfa-pm-91-4 bpd supplement, you need to provide the original form number, the correction or additional information, and any supporting documentation.
What is the purpose of revision hcfa-pm-91-4 bpd supplement?
The purpose of the revision hcfa-pm-91-4 bpd supplement is to ensure that all information provided to the HCFA is accurate and up to date.
What information must be reported on revision hcfa-pm-91-4 bpd supplement?
The revision hcfa-pm-91-4 bpd supplement must include the original form number, the specific information being corrected or added, and any supporting documentation.
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