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Get the free Supplement 2 to Attachment 3 - dvha vermont

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Supplement 2 to Attachment 3.1A Page 1 State of Vermont PACE State Plan Amendment PrePrint Name and address of State Administering Agency, if different from the State Medicaid Agency. (not applicable)
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Supplement 2 to attachment is a form that provides additional information and details related to the main attachment.
Entities or individuals required to provide more detailed information or explanation in relation to the main attachment may be required to file supplement 2.
Supplement 2 should be completed by providing the requested information in the designated fields following the instructions provided on the form.
The purpose of supplement 2 is to ensure transparency and provide additional context or details to the information in the main attachment.
The information required on supplement 2 may vary based on the specific context or requirements, but typically it includes additional details, explanations, or clarifications related to the main attachment.
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