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[PDF File]SOM Appendix A - Centers for Medicare & Medicaid Services
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• The CMS State Operations Manual (SOM) provides CMS policy regarding survey and certification activities. Surveyors assess the hospital’s compliance with the CoP for all services, areas and ... Task 6 Post-Survey Activities . Survey Modules for Specialized Hospital Services . The modules for PPS-exempt units (psychiatric and rehabilitation ...
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[PDF File]2018 Instructions for Form 990 Return of Organization ...
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charitable trust) or a section 527 political organization, is no longer required to report the names and address of its contributors on the Schedule B (Schedule of Contributors) attached to its Form 990 or Form 990-EZ for tax years ending on or after December 31, 2018. See Rev. Proc. 2018-38 for more
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[PDF File]Alcohol Use Disorders Identification Test (AUDIT)
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The Alcohol Use Disorders Identification Test (AUDIT) is a 10-item screening tool developed by the World Health Organization (WHO) to assess alcohol consumption, drinking behaviors, and alcohol-related problems. Both a clinician-administered version (page 1) and a self-report version of the AUDIT (page 2) are provided. Patients should be encouraged
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[PDF File]2018 Instructions for Form 990-T
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post-1986 deferred foreign income of the specified foreign corporations determined as of November 2, 2017 or December 31, 2017. The U.S. shareholders may elect to pay the liability under section 965 in eight installments. See section 965, as amended. Also see Pub. 5292. Reminder. Don't include social security numbers on publicly disclosed forms ...
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[PDF File]I HEREBY CERTIFY
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1. I hold valid seller’s permit number: 2. I am engaged in the business of selling the following type of tangible personal property:
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[DOC File]Aid Codes Master Chart (aid codes) - Medi-Cal
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The Aid Codes Master Chart was developed for use in conjunction with the Medi-Cal Automated Eligibility Verification System (AEVS). Providers must submit …
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[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,
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