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PRINTED: 03/11/2021 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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How to fill out approval for an exception

01

Obtain the exception request form from the appropriate department.

02

Fill out all required fields in the form, including details on the reason for the exception and any supporting documentation.

03

Make sure to follow any specific instructions or guidelines provided for filling out the form.

04

Obtain any necessary signatures and approvals from relevant parties.

05

Submit the completed form to the designated approval authority for review and consideration.

Who needs approval for an exception?

01

Employees, contractors, or individuals who need to deviate from established policies, procedures, or guidelines may need to seek approval for an exception.

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What is approval for an exception?

Approval for an exception is a formal authorization granted to deviate from a standard procedure or rule.

Who is required to file approval for an exception?

Any individual or entity who wishes to deviate from a standard procedure or rule is required to file approval for an exception.

How to fill out approval for an exception?

Approval for an exception can be filled out by providing detailed information about the deviation requested and justification for it.

What is the purpose of approval for an exception?

The purpose of approval for an exception is to ensure that deviations from standard procedures or rules are justified and properly documented.

What information must be reported on approval for an exception?

Approval for an exception must include details about the requested deviation, reasons for the deviation, and potential impacts of the deviation.

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