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PRINTED: 12/28/2020 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION

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Letcher Manor - CHFSKYGOV is a government form used for reporting information regarding individuals receiving medical assistance in Kentucky.

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Healthcare providers and facilities are required to file Letcher Manor - CHFSKYGOV to report information on patients receiving medical assistance.

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Letcher Manor - CHFSKYGOV can be filled out online through the official Kentucky Cabinet for Health and Family Services website.

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The purpose of Letcher Manor - CHFSKYGOV is to ensure accurate reporting of medical assistance information for individuals in Kentucky.

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Information such as patient demographics, medical services received, and billing details must be reported on Letcher Manor - CHFSKYGOV.

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