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OPERATIONAL MEMO TITLE:HOME AND COMMUNITYBASED SERVICES (HUBS) BASE WAGE RATE INCREASE ATTESTATION FORM 2023 SUPERSEDES NUMBER: N/A EFFECTIVE DATE: MARCH 28, 2023, DIVISION AND OFFICE: OPERATIONS
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HCPF OM 23-023 home is a form used for reporting home and community-based services provided to Medicaid beneficiaries.
Providers of home and community-based services to Medicaid beneficiaries are required to file HCPF OM 23-023 home.
HCPF OM 23-023 home can be filled out online through the Medicaid provider portal or by submitting a paper form to the Medicaid office.
The purpose of HCPF OM 23-023 home is to track and report the services provided to Medicaid beneficiaries in home and community-based settings.
Providers must report the type of services provided, dates of service, beneficiary information, and billing details on HCPF OM 23-023 home.
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