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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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How to fill out cumberland care and rehab

How to fill out cumberland care and rehab
01
Obtain the necessary forms from the facility or online.
02
Fill out personal information accurately, including name, address, and contact information.
03
Provide detailed medical history and current health status.
04
Include information about medications being taken and any allergies.
05
Specify the reason for needing care and rehabilitation.
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Sign and date the form before submitting it to the facility.
Who needs cumberland care and rehab?
01
Individuals who require specialized care and rehabilitation services after surgery or illness.
02
People who need assistance with activities of daily living due to physical or cognitive limitations.
03
Patients who need skilled nursing care and therapy to recover from injury or manage chronic conditions.
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What is cumberland care and rehab?
Cumberland Care and Rehab is a long-term care facility that provides skilled nursing, rehabilitative therapy, and medical services to residents who require assistance with daily activities.
Who is required to file cumberland care and rehab?
Cumberland Care and Rehab is required to file regular reports with state regulatory agencies, insurance companies, and other relevant parties.
How to fill out cumberland care and rehab?
Cumberland Care and Rehab reports are typically filled out by trained staff members who are knowledgeable about the facility's operations and patient care.
What is the purpose of cumberland care and rehab?
The purpose of Cumberland Care and Rehab is to provide high-quality care and rehabilitation services to individuals in need of long-term skilled nursing care.
What information must be reported on cumberland care and rehab?
Cumberland Care and Rehab reports typically include information about patient demographics, medical conditions, treatment plans, and outcomes.
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