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Level I Screening Form Must Remain in the Individual's Record and a Copy Transferred with the Individual in any New Placements Patient Name: Payment Status: c/o: MID #: Address: DOB: Medicaid Medicare
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ddm nd level i is a specific form or report that needs to be filed by certain individuals or entities to disclose detailed financial information.
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Entities or individuals designated by regulatory authorities or governing bodies are required to file ddm nd level i.
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