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DEPARTMENT OF HEALTH SERVICES STATE OF WISCONSIN Division of Medicaid Services F01197 (06/2009)WISCONSIN MEDICAID CERTIFICATION OF NEED FOR SPECIALIZED MEDICAL VEHICLE TRANSPORTATIONInstructions:
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How to fill out certification of need for

01
Obtain the certification of need form from the relevant organization or government agency.
02
Fill out all required fields on the form, including your personal information and details about why you require certification of need.
03
Provide any supporting documents or evidence that may be required, such as financial statements or medical records.
04
Sign and date the form before submitting it to the appropriate authority for review.

Who needs certification of need for?

01
Individuals or organizations who are seeking approval or funding for specific projects or activities that are subject to regulatory requirements may need certification of need.

What is Certification of Need for Specialized Medical Vehicle ... - Print Form?

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Certification of need is used to ensure that certain resources are allocated appropriately and efficiently in a specific area.
Healthcare facilities and providers are typically required to file certification of need before expanding or offering new services.
Certification of need forms can usually be obtained from the state health department or relevant regulatory body and must be completed with detailed information about the proposed project or service.
The purpose of certification of need is to prevent unnecessary duplication of healthcare services and control healthcare costs.
Information such as the need for the proposed project or service, potential impact on existing services, and financial feasibility may need to be reported on certification of need forms.
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