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FOR BHF USELL1 2012 STATE OF ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES FINANCIAL AND STATISTICAL REPORT (COST REPORT) FOR LONGER CARE FACILITIES (FISCAL YEAR 2012)I.DPH License ID Number:

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How to fill out www2illinoisgov hfs medicalproviders2012 long

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To fill out the www2illinoisgov hfs medicalproviders2012 long form, follow these steps:

02

- Open your internet browser and go to the website www2.illinois.gov

03

- On the homepage, navigate to the 'HFS' section

04

- Look for the link 'Medical Providers 2012 Long Form' and click on it

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- The form will open in a new window or tab

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- Read the instructions carefully before starting to fill out the form

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- Provide all the required information in the designated fields

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Who needs www2illinoisgov hfs medicalproviders2012 long?

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The www2illinoisgov hfs medicalproviders2012 long form is needed by healthcare providers in Illinois who want to participate in the medical assistance program offered by the Illinois Department of Healthcare and Family Services (HFS). This form is specifically for providers who are applying for or renewing their enrollment in the program and need to provide detailed information about their practice and services.

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What is www2illinoisgov hfs medicalproviders2012 long?

The www2illinoisgov hfs medicalproviders2012 long is a form used for reporting medical provider information to the Illinois Department of Healthcare and Family Services.

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All medical providers in Illinois are required to file the www2illinoisgov hfs medicalproviders2012 long.

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The www2illinoisgov hfs medicalproviders2012 long can be filled out online on the Illinois Department of Healthcare and Family Services website.

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The purpose of the www2illinoisgov hfs medicalproviders2012 long is to gather information about medical providers in Illinois for regulatory and payment purposes.

What information must be reported on www2illinoisgov hfs medicalproviders2012 long?

Medical providers must report their contact information, services provided, and payment information on the www2illinoisgov hfs medicalproviders2012 long.

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