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CMS CLINICAL ELIGIBILITY SCREENING FORM DEMOGRAPHIC INFORMATION Interpreter Services Needed (Language Preference or Hearing Impaired): Referral Source: Date Referred: Child's full name (Last, First,
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The cms clinical eligibility screening is a process used to determine if an individual meets the clinical eligibility criteria for a specific healthcare program or service.
Healthcare providers are required to file cms clinical eligibility screening for their patients in order to receive reimbursement for services rendered.
The cms clinical eligibility screening can be filled out online through the cms website or through paper forms provided by the healthcare provider.
The purpose of cms clinical eligibility screening is to ensure that patients meet the clinical criteria for the healthcare program or service they are seeking.
The cms clinical eligibility screening typically requires information about the patient's medical history, current health status, and any specific criteria for the program or service.
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