
Get the free 2017 Long Term Care Cost Reports - Illinois.gov
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FOR BHF USELL1
2017
STATE OF ILLINOIS
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
FINANCIAL AND STATISTICAL REPORT (COST REPORT)
FOR LONGER CARE FACILITIES
(FISCAL YEAR 2017)I.DPH License ID Number:
Facility
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What is long term care cost?
Long term care cost refers to the expenses associated with services and support for individuals who require assistance with daily activities over an extended period of time.
Who is required to file long term care cost?
Individuals who have incurred long term care expenses or are responsible for paying for long term care services are required to file long term care cost.
How to fill out long term care cost?
To fill out long term care cost, individuals must provide detailed information about the expenses incurred for long term care services, including the cost of medical treatments, caregiver services, and facility fees.
What is the purpose of long term care cost?
The purpose of long term care cost is to track and report the expenses associated with long term care services, in order to assess the financial impact and eligibility for reimbursement or tax deductions.
What information must be reported on long term care cost?
Information that must be reported on long term care cost includes the date of service, description of the care provided, name and contact information of the service provider, and the total cost of the services.
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