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DOCUMENTATION OF COMPETENCY Clear Fields ND DEPARTMENT OF HUMAN SERVICES MEDICAL SERVICES/HUBS SON 750 (12-2014) This form needs to be completed by a Health Care Professional (see reverse side for
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How to fill out hcbs sfn 750
How to fill out hcbs sfn 750:
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What is hcbs sfn 750?
hcbs sfn 750 is a form used to report home and community-based services provided to individuals with disabilities.
Who is required to file hcbs sfn 750?
Providers of home and community-based services are required to file hcbs sfn 750.
How to fill out hcbs sfn 750?
hcbs sfn 750 should be filled out by providing detailed information about the services provided to individuals with disabilities.
What is the purpose of hcbs sfn 750?
The purpose of hcbs sfn 750 is to track and monitor the delivery of home and community-based services to individuals with disabilities.
What information must be reported on hcbs sfn 750?
Information such as service dates, type of services provided, and recipient information must be reported on hcbs sfn 750.
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