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Bill J. Crouch Cabinet SecretarySTATE OF WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN RESOURCES OFFICE OF INSPECTOR GENERAL BOARD OF REVIEW 4190 Washington Street, West Charleston, West Virginia 25313
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DJ 19-BOR-1304 LTC MED is a specific form related to long-term care medical services for reporting and compliance purposes.
Individuals or entities providing long-term care services are required to file the DJ 19-BOR-1304 LTC MED form.
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The purpose of DJ 19-BOR-1304 LTC MED is to collect data on long-term care medical services for regulatory and oversight purposes.
Information such as service details, provider information, patient demographics, and care statistics must be reported on DJ 19-BOR-1304 LTC MED.
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