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07/18/2023PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICESFORM APPROVEDCENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/CLIAAND PLAN OF CORRECTIONIDENTIFICATION
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The complaint in00411202 - federalstate refers to a formal grievance submitted to the federal and state authorities regarding alleged violations of laws, regulations, or intergovernmental agreements.
Any individual or organization that feels wronged by a violation of federal or state laws and regulations is required to file the complaint in00411202 - federalstate.
To fill out the complaint in00411202 - federalstate, you must complete the prescribed form, provide detailed information about the complaint, including the parties involved, a clear description of the issue, and any relevant evidence supporting your claim.
The purpose of the complaint in00411202 - federalstate is to initiate an investigation into alleged violations and to seek remedial action to address the grievances raised by the complainant.
The complaint must report the complainant's contact information, a detailed description of the violation, the date it occurred, the parties involved, relevant evidence, and any previous attempts to resolve the issue.
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