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DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES MEDICARE/MEDICAID CERTIFICATION AND TRANSMITTAL ID: MYP1 Facility ID: 00045 PART I TO BE COMPLETED BY THE STATE SURVEY
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How to fill out state survey agency directory
How to fill out state survey agency directory
01
Obtain a copy of the state survey agency directory.
02
Review the directory to determine the information required for each agency.
03
Fill out the required information for each agency in the directory.
04
Double check the accuracy of the information provided.
05
Submit the completed state survey agency directory as per the instructions provided.
Who needs state survey agency directory?
01
Healthcare facilities that are required to undergo state surveys.
02
Individuals or organizations that provide services regulated by state survey agencies.
03
Government agencies that oversee and regulate healthcare services within a state.
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What is state survey agency directory?
The state survey agency directory is a list of contact information and details for state survey agencies that oversee the compliance of healthcare facilities.
Who is required to file state survey agency directory?
Healthcare facilities and organizations are required to file the state survey agency directory.
How to fill out state survey agency directory?
You can fill out the state survey agency directory by providing accurate and up-to-date contact information for the state survey agencies in your area.
What is the purpose of state survey agency directory?
The purpose of the state survey agency directory is to ensure that healthcare facilities can easily contact and communicate with their state survey agencies for compliance and regulatory purposes.
What information must be reported on state survey agency directory?
The state survey agency directory must include the name, address, phone number, and email of the state survey agencies, as well as any specific contact persons or departments.
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