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Surveillance and Utilization ReviewRestricted Card Program
Operations Procedures Manual Indiana
Medical Policy and
Review Services January 31, 2007Indiana Family and Social Services Administration
Office
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What is sur restricted card program?
The sur restricted card program is a program that restricts the use of certain cards for specific purposes.
Who is required to file sur restricted card program?
Certain businesses and individuals who use the restricted cards are required to file the sur restricted card program.
How to fill out sur restricted card program?
To fill out the sur restricted card program, one must provide specific information about the purpose of the restricted cards and how they are being used.
What is the purpose of sur restricted card program?
The purpose of the sur restricted card program is to control and monitor the use of certain cards for specific purposes.
What information must be reported on sur restricted card program?
The information that must be reported on the sur restricted card program includes the type of restricted card, the purpose of its use, and the entities or individuals using the card.
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