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DocuSign Envelope ID: 96EA7ABE611E49828BCF5910112BA79EAPPENDIX A ORGANIZATIONAL PROVIDERS KEY GUIDE Service Underprovided Provided At (Place of100 Assessment Client with FamilyService)C Client Only
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Appendix A for organizational providers is a document that outlines the specific requirements and information that organizational providers must submit as part of their reporting obligations.
All organizational providers that fall under the regulatory requirements for reporting must file Appendix A.
To fill out Appendix A, providers must gather the required information, complete each section of the form accurately, and ensure all necessary documentation is attached before submission.
The purpose of Appendix A is to collect standardized information from organizational providers to ensure compliance with regulatory requirements and to facilitate data analysis.
Providers must report information such as organizational structure, services provided, compliance data, and any other relevant operational details.
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