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ATTACHMENT I This form is completed annually by the Medicaid Program Representative (MPR) for each county. COUNTY NO. COUNTY NAME REPORT OF INTERNAL INSPECTION ON FINANCIAL RESOURCE REPORT (FRR) BENEFICIARY
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What is attachment i this form?
Attachment i in this form is used for reporting additional information or supporting documentation that may be required for the form.
Who is required to file attachment i this form?
Any individual or entity who is specifically instructed to do so in the form instructions is required to file attachment i.
How to fill out attachment i this form?
Attachment i should be filled out accurately and completely with all the required information and supporting documentation.
What is the purpose of attachment i this form?
The purpose of attachment i is to provide additional details or documentation that supports the information provided in the main form.
What information must be reported on attachment i this form?
The information to be reported on attachment i varies depending on the specific requirements outlined in the form instructions.
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