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Census-For the entire report period. Patient Days by Level of Care and Primary Source of Payment Medicaid Recipient Private Pay Total SNF SNF/PED ICF ICF/DD SC DD 16 OR LESS C. Tax Bills tax bill which is normally paid during 2008. PLEASE NOTE Payment information from the Internet or otherwise is not considered acceptable tax bill documentation. Facilities located in Cook County are required to provide copies of their original second installment tax bill. X. Declaration of preparer other than...
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