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PRINTED: 09/13/2016 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION

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What is 2nd certification follow up?

The 2nd certification follow up is a process of verifying the accuracy and completeness of previously provided certification information.

Who is required to file 2nd certification follow up?

Entities or individuals who have previously submitted certification information and are requested to provide additional information as a follow up.

How to fill out 2nd certification follow up?

The 2nd certification follow up form can be filled out online or submitted via mail with the required information and supporting documents.

What is the purpose of 2nd certification follow up?

The purpose of the 2nd certification follow up is to ensure that the information provided in the initial certification is accurate and up to date.

What information must be reported on 2nd certification follow up?

The 2nd certification follow up may require reporting any changes in circumstances, financial information, or any other information requested by the certifying authority.

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