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FOR BHF USELL1 2020STATE OF ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES FINANCIAL AND STATISTICAL REPORT (COST REPORT) FOR LONGER CARE FACILITIES (FISCAL YEAR 2020)I.DPH License ID Number:

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What is fair oaks rehab hcc?

Fair Oaks Rehab HCC is a form used for reporting healthcare coverage on the individual shared responsibility provision.

Who is required to file fair oaks rehab hcc?

Individuals who have qualifying healthcare coverage are required to file the Fair Oaks Rehab HCC form.

How to fill out fair oaks rehab hcc?

You can fill out the Fair Oaks Rehab HCC form online or by mail, providing information about your healthcare coverage.

What is the purpose of fair oaks rehab hcc?

The purpose of Fair Oaks Rehab HCC is to report healthcare coverage and ensure compliance with the individual shared responsibility provision.

What information must be reported on fair oaks rehab hcc?

Fair Oaks Rehab HCC requires reporting details about your healthcare coverage, including the policy number and coverage period.

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