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09/28/2020PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICESFORM APPROVEDCENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION

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Individuals or entities who have been affected by the issue in question or who seek redress for a grievance are typically required to file the complaint.

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The information that must be reported includes the complainant's details, a description of the issue, any evidence supporting the complaint, and the desired outcome or resolution.

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