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PRINTED: 08/17/2022 FORM APPROVEDDivision of Health Service Regulation STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:YWCAHAWLEY HOUSE (X4) ID PREFIX
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Individuals who are involved in a legal case or investigation where the NC DHR MHLCS statement is required.
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Employees of the North Carolina Department of Health and Human Services who need to document specific information related to mental health and substance abuse services.
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The NC DHR MH/LCS statement is a financial statement that must be filed by certain healthcare providers in North Carolina.
Healthcare providers in North Carolina that offer Mental Health or Substance Abuse services are required to file the NC DHR MH/LCS statement.
The NC DHR MH/LCS statement can be filled out electronically through the North Carolina Department of Health and Human Services website.
The purpose of the NC DHR MH/LCS statement is to report financial information related to Mental Health and Substance Abuse services provided by healthcare providers in North Carolina.
Information such as revenue, expenses, patient demographics, and services provided must be reported on the NC DHR MH/LCS statement.
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