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Forms
003728265.doc - services dpw state pa
APPEAL OF UPMC PRESBYTERIAN SHADYSIDE HOSPITAL
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003815933.doc - services dpw state pa
Remand Adjudication and Recommendation
Adjudication Document for Cornerstone Adminisystems Appeal
004002421.doc - services dpw state pa
COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE PROVIDER NAME/ADDRESS: THE MEADOWS PSYCHIATRIC CENTER 132 THE MEADOWS DRIVE CENTRE HALL, PA 16828 PROVIDER'S REPRESENTATIVE RASHID S - services dpw state pa
APPLICATION FOR APPROVAL AS A HOMELESS MEAL PROVIDER
COMMONWEALTH OF PENNSYVLANIA DEPARTMENT OF PUBLIC WELFARE PROVIDER NAME/ADDRESS: BENCHMARK BEHAVIORAL HEALTH SYSTEM 592 WEST 1350 SOUTH WOODS CROSS, UT 84087 PROVIDER'S REPRESENTATIVE JANET DUKE PROVIDER'S WITNESS (ES) XXXXXXXXXX XXXXXXXXXX
Long Term Care Service Provider Authorization Form
003949439.doc - services dpw state pa
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003725781.doc - services dpw state pa
Appeal Adjudication Document
003880089.doc - services dpw state pa
Appeal of Tandem Health Care of Cheswick
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Lankenau Hospital Appeal Documents
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003791567.doc - services dpw state pa
003913765.doc - services dpw state pa
Appeal of People In Need, Inc.
Policy Clarifications - Food Stamp
HealthCare Handshake Policy Clarifications
Appeal of Heartland Home Health Care and Hospice
003793380.doc - services dpw state pa
xxxxxxxxxxdw form
PROVIDER NAME/ADDRESS: CLARION PSYCHIATRIC CENTER TWO HOSPITAL DRIVE RD 3, BOX 188 CLARION, PA 16214 RECIPIENTS INVLOVED: XXXXXXXXXX XXXXXXXXXX XXXXXXXXXX XXXXXXXXXX XXXXXXXXXX CASE # XXXXXXXXXX DATE ADVERSE ACTION MAILED 5/22/2007 DATE - -
Operations Memorandum OPS970411 Waivers 04/28/97 SUBJECT ... - services dpw state pa
COMMONWEALTH OF PENNSYVLANIA DEPARTMENT OF PUBLIC WELFARE PROVIDER NAME/ADDRESS: Frick Hospital 508 South Church Street Mount Pleasant, PA 15666-1790 PROVIDER'S REPRESENTATIVE Donald Kettering, M - services dpw state pa
Adjudication of Appeal for Department of Public Welfare
Order and Adjudication - Appeal of Montgomery Hospital Medical Center
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Dupont Hospital for Children Appeal
Adjudication Appeal Decision
003728027.doc - services dpw state pa
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COMMONWEALTH OF PENNSYVLANIA DEPARTMENT OF PUBLIC WELFARE PROVIDER NAME/ADDRESS: IMAGE GUIDED SURGERY ASSOCIATES PO BOX 892 CONCORDVILLE, PA 19331 RECIPIENTS INVLOVED: XXXXXXXXXX XXXXXXXXXX XXXXXXXXXX XXXXXXXXXX XXXXXXXXXX CASE # XXXXXXXXXX
Adjudication of Appeal
Order and Adjudication
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003897865.doc - services dpw state pa
003815947.doc - services dpw state pa
LIHEAP Operations Memorandum
Adverse Action and Hearing Decision
Adjudication of Pittsburgh Mercy Health System Appeal
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UPMC Presbyterian/Shadyside Hospital Appeal Adjudication
Caring Orthotics Appeal Document
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Adjudication and Appeal Decision
Adjudication on the Appeal of DuBois Regional Medical Center
OPS081104 - Department of Public Welfare - services dpw state pa
ADMINISTRATIVE HEARING DECISION ON APPEAL
Employer Premium Withholding Agreement - services dpw state pa
003729813.doc - services dpw state pa
Potential Eligibility for Subsidy Through the Child Care Information Services Agency
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Agreement of Mutual Responsibility
PA -FS 162A 1-07.qxp - services dpw state pa
Bureau of Hearings and Appeals decisions on Medical Assistance provider appeals.. Appeal of Open MRI of Middletown - services dpw state pa
medicaid award letter
Adjudication of Appeal for Medical Necessity
Order and Recommendation for Appeal
Operations Memorandum Employment & Training OPS090704 - services dpw state pa
Adjudication of Appeal - Alfred I. Dupont Hospital for Children
Simplified Reporting Requirements for Supplemental Nutrition Assistance Program (SNAP)/Food Stamp Households with all Elderly or Disabled Adult Members with No Earned Income - services dpw state pa
Appeal Adjudication Order
PA 1887 (5th Proof).indd - services dpw state pa
Adjudication Order for Appeal of Hershey Outpatient Surgery Center
003874792.doc. http//apps/applications/BookManager/PolicyViewer/PolicyAppView - services dpw state pa
Greenridge Nursing Home Appeal Order
UPMC Presbyterian/Shadyside Hospital Appeal Adjudication
Frick Hospital Appeal Adjudication
003769986.doc - services dpw state pa
PROVIDER NAMEADDRESS Jefferson Hills Manor 448 Old Clariton Road Jefferson Hills, PA 15025 PROVIDER'S REPRESENTATIVE John Kennedy, Esquire PROVIDER'S WITNESS (ES) XXXXXXXXXX XXXXXXXXXX XXXXXXXXXX XXXXXXXXXX XXXXXXXXXX DEPARTMENT WITNESS(ES)
Commonwealth of Pennsylvania Department of Public Welfare Appeal Decision
Adjudication of Appeal for Medical Assistance Compensation
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