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DEPARTMENT OF HEALTH SERVICES Division of Medicaid Services F02117 (05/2017)STATE OF WISCONSIN Title 42 C.F.R. 441.302 and 441.710HOME AND COMMUNITYBASED SETTINGS ADULT RESIDENTIAL PROVIDER ASSESSMENTAlthough
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Title 42 c refers to a specific section under United States Code relating to public health and welfare.
Certain healthcare providers, facilities, and government agencies are required to file title 42 c.
Title 42 c can be filled out electronically or through paper forms provided by the relevant authorities.
The purpose of title 42 c is to ensure the proper reporting of public health data for various purposes.
Information such as patient demographics, medical conditions, and treatments received must be reported on title 42 c.
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