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FOR BHF USELL1
2020STATE OF ILLINOIS
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
FINANCIAL AND STATISTICAL REPORT (COST REPORT)
FOR LONGER CARE FACILITIES
(FISCAL YEAR 2020)
I.DPH License ID Number:
Facility
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What is 17 non-care related fees?
17 non-care related fees are fees that are not directly related to the care of individuals.
Who is required to file 17 non-care related fees?
Any organization or individual that incurs non-care related fees may be required to file them.
How to fill out 17 non-care related fees?
To fill out 17 non-care related fees, one must list the fees incurred that are unrelated to care services.
What is the purpose of 17 non-care related fees?
The purpose of 17 non-care related fees is to track expenses that are not directly related to providing care.
What information must be reported on 17 non-care related fees?
The information reported on 17 non-care related fees includes details of the fees incurred and the reason for them.
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