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Commonwealth of Kentucky KY Medicaid Provider Billing Instructions For Supports for Community Living Provider Type 33 Version 4.6 June 24, 2016, Document Change Log Document Date Version Name Comments
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How to fill out provider type 33

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What is provider type 33?
Provider type 33 refers to a specific classification of healthcare providers.
Who is required to file provider type 33?
Healthcare providers categorized under provider type 33 are required to file.
How to fill out provider type 33?
Provider type 33 form should be filled out with accurate and up-to-date information regarding healthcare services provided.
What is the purpose of provider type 33?
The purpose of provider type 33 is to categorize and track healthcare providers for regulatory and documentation purposes.
What information must be reported on provider type 33?
Provider type 33 usually requires information such as name of the provider, services offered, location, and contact information.
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