Departments and Agencies

Forms

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Appeal of York Hospital

Appeal Adjudication for Philhaven Hospital

APPEAL OF UPMC HEALTH SYSTEM - BEDFORD MEMORIAL HOSPITAL

ORDER OF ADMINISTRATIVE HEARING

Adjudication of Appeal for St. Mary’s Villa Nursing Home

COMMONWEALTH OF PENNSYVLANIA DEPARTMENT OF PUBLIC WELFARE PROVIDER NAME/ADDRESS: SUDARSHAN SINGLA, MD 210 LOCH LOMOND ROAD PHILIPSBURG, PA 16866 PROVIDER'S REPRESENTATIVE PROVIDER'S WITNESS (ES) XXXXXXXXXX XXXXXXXXXX XXXXXXXXXX XXXXXXXXXX -

LOW INCOME HOME ENERGY ASSISTANCE PROGRAM 2011-2012 INFORMATION - NEEDS - SURVEY

Operations Memorandum

Electronic Benefits Transfer (EBT) - Human Services Department

UPMC Horizon Hospital Appeal Adjudication

Operations Memorandum

Final Administration Action and Mailing Date

Operations Memorandum - Medicaid

U. S. Department of Agriculture Food Stamp Non-Discrimination ...

Adjudication and Order for Appeal

SNAP Homeless Meal Provider Application

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Adjudication and Recommendation on Appeal by Jefferson Hills Manor

Adjudication Order on Appeal

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Adjudication of Appeal by Northfield Hospital

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Adjudication on Appeal for Reimbursement Denial

ORDER AND ADJUDICATION FOR REIMBURSEMENT APPEAL

Adverse Action Notice for Provider Appeal

Appeal Dismissal Recommendation

Adjudication of Appeal by Atlantic Health System

Adverse Action Hearing Decision

Cape Regional Medical Center Appeal Decision

UPMC Western Psychiatric Institute and Clinic Appeal Document

Operations Memorandum - LIHEAP

Adjudication and Recommendation for Appeal

Policy Clarifications

MIPPA Notice Text - services dpw state pa

BHA Hearing Order and Recommendation

PA FS 855 X - Department of Public Welfare - services dpw state pa

Policy Clarifications

Adjudication of Devereux Foundation Appeal

Adverse Action Notice and Appeal Recommendation

Medicaid - SelectPlan for Women Policy Clarification

Covenant Home Care Appeal Decision

Decision on Appeal Regarding Quality of Care Concerns for UPMC Western Psychiatric Institute and Clinic

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Department of Public Welfare Adjudication Order

Adjudication of Appeal - The Meadows Psychiatric Center

DCED/DPW CRISIS INTERFACE REFERRAL FORM

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Adjudication Order and Recommendations

Adjudication and Order for Appeal

PA 600 L - Delaware County Office of Services for the Aging - services dpw state pa

Adjudication Appeal

Adjudication of Appeal for Medical Services Denial

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Final Adjudication Order for Appeal by Community Nurses Inc.

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Adjudication and Order of Appeal

UPMC Western Psychiatric Institute and Clinic Appeal

Submission Notice for Cash Assistance

Adjudication of Appeal by Belmont Center for Comprehensive Treatment

Final Decision Regarding Appeal from Denial of Reimbursement

Family Planning Waiver Notices

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COMMONWEALTH OF PENNSYVLANIA DEPARTMENT OF PUBLIC WELFARE PROVIDER NAME/ADDRESS: SHARON REGIONAL HEALTH SYSTEM 740 EAST STATE STREET SHARON, PA 16146 PROVIDER'S REPRESENTATIVE SHANI VATURI, MD PROVIDER'S WITNESS (ES) XXXXXXXXXX XXXXXXXXXX -

Adjudication and Order of Appeal Denial

CHILD SUPPORT REFUND NOTICE

Appeal of UPMC Braddock Denial of Reimbursement

Operations Memorandum

Adjudication of Appeal for Denied Medical Compensation

ADJUDICATION ON APPEAL OF SOMERSET HOSPITAL

Adjudication of Appeal from Department of Public Welfare

Adjudication of Appeal - Mid-Valley Hospital

operations memorandum #13-10-02

Appeal of Mercy Hospital of Philadelphia

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Adjudication of Appeal for Medical Services Reimbursement

PROVIDER NAMEADDRESS UNIVERSITY OF PA HEALTH SYSTEM TH 3001 MARKET ST - services dpw state pa

Department of Public Welfare Adjudication

Adjudication of Appeal by University of Pittsburgh Medical Center

Bureau of Hearings and Appeals Order

Adjudication of Appeal for Medical Assistance Services

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