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Oregon Medicaid Prior Authorization Requestor CH005: Level of Service OHA Inventory for BH Residential Treatment Service Providers may submit an LSI with the initial referral. Please refer to the
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Form CH-005-LSI-RES is a tax form used for reporting specific financial information related to resident income for certain entities.
Entities that qualify as residents for tax purposes and have specific income or financial thresholds must file form CH-005-LSI-RES.
To fill out form CH-005-LSI-RES, you need to gather required financial data, follow the instructions provided on the form, and ensure all sections are completed accurately.
The purpose of form CH-005-LSI-RES is to report income and financial information to ensure compliance with tax obligations for resident entities.
Information that must be reported includes income, deductions, and other financial details pertinent to the entity’s tax status.
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