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04/20/2018PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICESFORM APPROVEDCENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION
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Complaint in00249001 - substantiated is an official document filed to report a substantiated grievance or concern.
Any individual or entity who has knowledge of a substantiated grievance or concern is required to file the complaint in00249001 - substantiated.
Complaint in00249001 - substantiated should be filled out with detailed information about the substantiated issue, including dates, parties involved, and supporting evidence.
The purpose of complaint in00249001 - substantiated is to document and address substantiated grievances or concerns in a formal and organized manner.
Information such as the nature of the grievance, names of individuals involved, dates of incidents, and any supporting documentation must be reported on complaint in00249001 - substantiated.
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