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PRINTED: 06/18/2015 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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Printed 0618 is a specific form or document issued by the department that typically relates to reporting and compliance obligations.
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Individuals or entities that meet certain criteria set forth by the department, often including businesses or organizations subject to regulatory reporting.
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To fill out printed 0618, follow the instructions provided with the form, ensuring all required fields are completed accurately.
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The purpose of printed 0618 is to ensure compliance with specific reporting requirements as mandated by the department.
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Information such as income, expenses, and other relevant financial data must be reported on printed 0618.
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