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DEPARTMENT OF HEALTH SERVICES Division of Long Term Reinstate OF WISCONSINF01812 (9/2016)WISCONSIN MEDICAID PROGRAM 2016 NURSING HOME COST REPORT Completion of this form is required by Section 1.171
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Atrium Post Acute is a healthcare facility that provides specialized care for individuals who require post-acute medical services.
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Information such as the patient's medical history, current condition, treatment plan, and progress must be reported on the form.
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