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MEDICAID PROGRAM INTEGRITY MANUAL CHAPTER 11 STATE REPORTING OF OVERPAYMENTS FORM CMS 64 Table of Contents (Rev. 1, Issued: 09-23-11) Transmittal of Chapter 11 CHAPTER 11 STATE REPORTING OF OVERPAYMENTS
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What is form cms 64 9c1?
Form CMS 64 9c1 is a form used for reporting financial transactions related to the Medicaid program.
Who is required to file form cms 64 9c1?
Medicaid providers who receive payments from the Medicaid program are required to file form CMS 64 9c1.
How to fill out form cms 64 9c1?
To fill out form CMS 64 9c1, providers need to provide information about the financial transactions they have made with the Medicaid program, including the amount of payment received and the nature of the transaction.
What is the purpose of form cms 64 9c1?
The purpose of form CMS 64 9c1 is to report financial transactions and help ensure the integrity and accountability of the Medicaid program.
What information must be reported on form cms 64 9c1?
Form CMS 64 9c1 requires providers to report information such as the amount of payment received, the type of service provided, and the Medicaid program from which the payment was received.
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