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Supplement 1 Attachment 4.19D Page 1 STATE PLAN UNDER TITLE XIX OF THE SOCIAL SECURITY ACT State of VIRGINIA METHODS AND STANDARDS FOR ESTABLISHING PAYMENT RATES FOR LONGER CARE Part II Nursing Home

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Attachment 419-a page 1 is a form used for reporting specific financial information to the tax authorities.

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The purpose of Attachment 419-a page 1 is to provide the tax authorities with specific financial details that may impact tax liabilities.

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