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ANDREW M. CUOMO Governor HOWARD A. TUCKER, M.D., J.D. Acting Commissioner SALLY DRESSING, M.S., R.N. Executive Deputy Commissioner DRAFT Health Home Withdrawal of Health Home Enrollment and Information

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What is draft health home withdrawl?

Draft health home withdrawal is a process where a health home notifies the appropriate authorities of their intent to withdraw from the program.

Who is required to file draft health home withdrawl?

Health homes that wish to withdraw from the program are required to file draft health home withdrawal.

How to fill out draft health home withdrawl?

Draft health home withdrawal forms can typically be filled out online or submitted via mail, following the instructions provided by the program administrators.

What is the purpose of draft health home withdrawl?

The purpose of draft health home withdrawal is to formally notify the authorities of a health home's intent to withdraw from the program.

What information must be reported on draft health home withdrawl?

Draft health home withdrawal forms typically require information such as the health home's name, contact information, reason for withdrawal, and anticipated withdrawal date.

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