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Attachment 4.19C Page 1 State California POLICY CONCERNING PAYMENT FOR RESERVING BEDS DURING A BENEFICIARY IS ABSENCE FROM AN INPATIENT FACILITY I. Leaves Absence of (a) Payment may be made to skilled

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19-c is a form used for reporting certain types of income to the IRS.

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The purpose of 19-c is to report specific types of income to the IRS for tax purposes.

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Information such as the amount of income received, the recipient's name and address, and other relevant details must be reported on 19-c.

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