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PRINTED: 04/26/2022
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 0426 is a form used by certain departments to report specific financial information as required by regulatory authorities.
Who is required to file printed 0426 department of?
Entities or individuals who meet specific criteria set by the department, usually concerning financial reporting or regulatory compliance, are required to file printed 0426.
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To fill out printed 0426, gather the required financial information, complete each section accurately, and ensure that all necessary signatures and dates are included.
What is the purpose of printed 0426 department of?
The purpose of printed 0426 is to ensure transparency and compliance in financial reporting, allowing authorities to assess the financial status of the reporting entity.
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Information typically reported on printed 0426 includes financial statements, tax identification numbers, and other relevant financial disclosures as required by the department.
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