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DEPARTMENT OF HEALTH SERVICES Division of Medicaid ServicesSTATE OF WISCONSINF01812 (9/2018)WISCONSIN MEDICAID PROGRAM 2018 NURSING HOME COST REPORT Completion of this form is required by Section
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Sunny Ridge Health and is a form used by individuals to report their health insurance coverage to the IRS.
Individuals who had minimum essential health coverage during the tax year are required to file Sunny Ridge Health and form.
You can fill out Sunny Ridge Health and online or by mailing a paper form to the IRS.
The purpose of Sunny Ridge Health and is to report health insurance coverage to the IRS for tax purposes.
You must report your personal information, information about your health insurance coverage, and any exemptions you may qualify for on Sunny Ridge Health and.
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