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DEPARTMENT OF HEALTH SERVICES Division of Medicaid ServicesSTATE OF WISCONSINF01812 (9/2020)WISCONSIN MEDICAID PROGRAM 2020 NURSING HOME COST REPORT SCHEDULE 1: Facility & Preparer Information 0 SECTION
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Montello Care Center is a healthcare facility that provides medical care and assistance to patients.
Montello Care Center is required to be filed by healthcare providers and organizations that operate or own the facility.
Montello Care Center can be filled out by providing all the required information about the facility, including but not limited to patient care services, staff information, and financial details.
The purpose of Montello Care Center is to ensure the quality and compliance of healthcare services provided by the facility.
Information such as patient demographics, medical services provided, staffing levels, and financial information must be reported on Montello Care Center.
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