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Get IN Application for New Facility Hospital Form

advised that the facility will not be able to bill Medicare and/or Medicaid for services rendered prior to the initial certification survey and official program acceptance into these programs); 5. Prior to the initial certification survey, the following must occur: (1) The Division must approve all application documents submitted; and (2) The designated Fiscal Intermediary must approve the CMS-855A application; 6. Once these requirements are satisfied, and the facility has provided skilled care.

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