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[DOC File]Aid Codes Master Chart (aid codes) - Medi-Cal
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Aid Code 8F will appear as a special aid code and will entitle the eligible client to acute inpatient services only while residing in a Nursing Facility Level A or B. For more information about LTC services, refer to the County Medical Services Program (CMSP) section in this manual. ... Aid Codes Master Chart (aid …
[PDF File]RESIDENT CENSUS AND CONDITIONS OF RESIDENTS
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Following certain entry fields, the related MDS 3.0 item(s) is noted. Remember, that although MDS items are noted for some fields, the field itself may need to be completed differently to reflect the current status of all residents as of the day of survey.
[DOC File]LEAVE REQUEST FORM/AUTHORIZATION - United States Navy
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navcompt form 3065 (3pt) (rev. 2-83) 1. date of request. 2. for . admin. use only. approval of this leave is . not valid . without control no,
[PDF File]Loan-Level Price Adjustment (LLPA) Matrix
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Loan-Level Price Adjustment (LLPA) Matrix This document provides the LLPAs applicable to loans delivered to Fannie. LLPAs are assessed based upon certain …
[PDF File]Fact Sheet #17F: Exemption for Outside Sales Employees ...
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Outside Sales Exemption To qualify for the outside sales employee exemption, all of the following tests must be met: • The employee’s primary duty must be making sales (as defined in the FLSA), or obtaining orders or contracts for services or for the use of facilities for which a consideration will be paid by the client or customer; and
[PDF File]Claim for Compensation U.S. Department of Labor
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E-Mail Address SECTION 15 An employing agency official who knowingly certifies to any false statement, misrepresentation, or concealment of fact with respect to this claim (or impedes the filing of a claim) may also be subject to appropriate criminal prosecution. I certify that the information given above and that furnished by the employee on this form is true to the best of my knowledge, with ...
[PDF File]2018 Form 8879
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Agent to initiate an ACH electronic funds withdrawal (direct debit) entry to the financial institution account indicated in the tax preparation software for payment of my federal taxes owed on this return and/or a payment of estimated tax, and the financial institution to debit the …
[PDF File]SNF Billing Reference - Centers for Medicare and Medicaid ...
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SNF Billing Reference MLN Booklet Page 4 of 20 ICN 006846 December 2018 An enrollee in Original Medicare must meet these conditions to qualify for Medicare Part A-covered SNF services: He or she was an inpatient of a hospital for a medically necessary stay of at least 3 consecutive
[PDF File]Work History Report
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WORK HISTORY REPORT- Form SSA-3369-BK READ ALL OF THIS INFORMATION BEFORE YOU BEGIN COMPLETING THIS FORM IF YOU NEED HELP If you need help with this form, complete as much of it as you can.
[PDF File]Form 4506T-EZ (Rev. 6-2019)
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Use Form 4506T-EZ to order a 1040 series tax return transcript free of charge, or you can quickly request transcripts by using our automated self-help service tools. Please visit us at IRS.gov and click on “Get Transcript of Your Tax Records” under “Tools” or call 1-800-908-9946. 1a . Name shown on tax return.
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