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Academic Year 20___20___ Certificate of Financial Responsibility ___ Applicant Last Name Applicant First name Applicant Middle Name Date of Birth ___/___/___ Country of Citizenship ___ Address (MM)(DD)(YYY)______ Telephone (___)
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Who needs tncare-prepaid-limited-health-service-organization?

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Individuals who are eligible for Tennessee Medicaid and are seeking a prepaid limited health service organization for their healthcare needs.
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TNCare Prepaid Limited Health Service Organization is a managed care entity that provides a range of healthcare services to eligible individuals enrolled in the state Medicaid program.
Entities operating as TNCare Prepaid Limited Health Service Organizations and offering services under the state Medicaid program are required to file documentation with the appropriate state authorities.
To fill out the TNCare Prepaid Limited Health Service Organization, one must complete the required forms with accurate information pertaining to the organization, including service details, financial information, and compliance with state regulations.
The purpose of TNCare Prepaid Limited Health Service Organization is to provide coordinated healthcare services to Medicaid recipients while managing costs and ensuring access to necessary medical care.
Information that must be reported includes the organization's operational details, financial statements, services offered, beneficiary demographics, and compliance metrics.
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