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DEPARTMENT OF HEALTH SERVICES Division of Medicaid ServicesSTATE OF WISCONSINF01812 (10/2021)WISCONSIN MEDICAID PROGRAM 2021 NURSING HOME COST REPORT SCHEDULE 1: Facility & Preparer Information Macros
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Spring Valley Health and is a form used to report health coverage information to the IRS.
Employers who provide health coverage to employees are required to file Spring Valley Health and.
Spring Valley Health and can be filled out electronically or on paper, following the instructions provided by the IRS.
The purpose of Spring Valley Health and is to report information about health coverage provided to individuals and the IRS.
Information such as the names of covered individuals, their Social Security numbers, and the months they were covered must be reported on Spring Valley Health and.
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