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Aging and People with Disabilities Angela Munkers Authorized signature Topic:Information Memorandum Transmittal Number: APDIM15062 Issue date: 8/26/2015OtherSubject: Home and CommunityBased Services
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APD-PT-15-023 is a transmittal cover form used for submitting specific documents related to healthcare provider agreements and modifications.
Healthcare providers and organizations that are submitting documents for approval or modification under healthcare programs are required to file the APD-PT-15-023 transmittal cover.
To fill out the APD-PT-15-023 transmittal cover, provide the required identification details including organization name, contact information, and the specific documents being submitted. Ensure all fields are completed accurately.
The purpose of APD-PT-15-023 transmittal cover is to facilitate the organized submission of documents, ensuring that all necessary information is included and identified for processing.
The information that must be reported on APD-PT-15-023 includes the submitting organization’s name, contact details, document title, and a brief description of the nature of the submission.
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