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DEPARTMENT OF HEALTH AND HUMAN SERVICESCENTERS FOR MEDICARE & MEDICAID SERVICESMEDICARE/MEDICAID CERTIFICATION AND TRANSMITTALID: 2YUSPART I TO BE COMPLETED BY THE STATE SURVEY AGENCY 1. MEDICARE/MEDICAID
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Brenda Fischer HFE NE stands for Brenda Fischer Household Finance Evaluation Non-Exempt.
Individuals who meet the criteria set forth by the financial institution.
The form can be filled out online on the financial institution's website or in person at a branch location.
The purpose is to evaluate the household finances of an individual to determine eligibility for certain financial products or services.
Information such as income, expenses, assets, and liabilities must be reported.
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