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Idaho Special Rate Request Form - Skilled Nursing Facility - Idaho
Idaho Special Skilled Nursing Facility is a legal document that was released by the Idaho Department of Health and Welfare - a government authority operating within Idaho.
FAQ
Q: What is the Idaho Special Rate Request Form?A: It is a form used by Skilled Nursing Facilities in Idaho to request a special rate.
Q: Who can use the Idaho Special Rate Request Form?A: Skilled Nursing Facilities in Idaho.
Q: What is the purpose of the form?A: To request a special rate for skilled nursing services.
Q: Is there a fee for submitting the form?A: No, there is no fee for submitting the form.
Q: What information is required on the Idaho Special Rate Request Form?A: The form requires information about the facility, services provided, patient demographics, and justification for the special rate request.
Q: How long does it take to process the form?A: The processing time may vary, but it generally takes several weeks to review and make a decision on the special rate request.
Q: Who should I contact if I have questions about the Idaho Special Rate Request Form?A: You can contact the Idaho Department of Health and Welfare for assistance with the form.
Form Details:
- Released on October 1, 2012;
- The latest edition currently provided by the Idaho Department of Health and Welfare;
- Ready to use and print;
- Easy to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of the form by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the Idaho Department of Health and Welfare.
Download Idaho Special Rate Request Form - Skilled Nursing Facility - Idaho
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