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DEPARTMENT OF HEALTH SERVICES Division of Medicaid ServicesSTATE OF WISCONSINF01812 (9/2019)WISCONSIN MEDICAID PROGRAM 2019 NURSING HOME COST REPORT Completion of this form is required by Section
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Gundersen Tri-County Care Center is a healthcare facility that provides medical services to residents in the tri-county area.
Healthcare providers and organizations that operate within the tri-county area are required to file Gundersen Tri-County Care Center.
Gundersen Tri-County Care Center can be filled out online through their official website or through a paper form that can be submitted via mail.
The purpose of Gundersen Tri-County Care Center is to collect and report data on healthcare services provided to residents in the tri-county area for tracking and analysis.
Information such as patient demographics, types of medical services provided, and outcomes of treatments must be reported on Gundersen Tri-County Care Center.
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