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Attestation of Submission of Subcontractor and Delegated Work ReportCoordinated Care Organization (Contractor) Name:CCO Medicaid Contract Number:COCOA Plan ID:I, the undersigned (as CEO, CFO of Contractor,
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To fill out OAR 410-141-3875 - Oregon, follow these steps:
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Download the OAR 410-141-3875 form from the Oregon government website.
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The Oregon Administrative Rule 410-141-3875 pertains to certain requirements for healthcare facilities in the state of Oregon.
Healthcare facilities operating in Oregon are required to file oar 410-141-3875.
The oar 410-141-3875 form can be filled out online on the Oregon Health Authority website or submitted via mail.
The purpose of oar 410-141-3875 is to ensure compliance with specific healthcare regulations and requirements in Oregon.
Information such as patient demographics, healthcare services provided, and compliance with state regulations must be reported on oar 410-141-3875.
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