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Reset Formed CHANGE AND REMODELING REQUEST COVER SHEET State Form 52322 (R / 716) Indiana State Department of HealthDivision of Long Term Capability NumberProvider Number/CNN Medicaid NumberFacility

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What is bed change and remodeling?

Bed change and remodeling refers to making alterations or improvements to a bed or bedroom setup.

Who is required to file bed change and remodeling?

Any individual or organization making changes to a bed or bedroom setup is required to file bed change and remodeling.

How to fill out bed change and remodeling?

To fill out bed change and remodeling, one must provide detailed information about the changes made to the bed or bedroom setup.

What is the purpose of bed change and remodeling?

The purpose of bed change and remodeling is to document and track any alterations or improvements made to a bed or bedroom setup.

What information must be reported on bed change and remodeling?

Information such as the nature of the changes, date of changes, and any relevant details must be reported on bed change and remodeling.

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