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Get and Sign DSH Feedback Form Michigan Health Hospital Association Mha 2015-2022

Get and Sign DSH Feedback Form Michigan Health Hospital Association Mha 2015-2022

Use a DSH Feedback Form Michigan Health Hospital Association Mha 2015 template to make your document workflow more streamlined.

1-517-241-7192. If your hospital declines DSH payments during this step the decision is irrevocable and your hospital is not eligible for any FY 2015 DSH funds at any time in the future. Note If this box is checked there is no need to complete Section 2 of this form. Section 2 Reduce DSH Limit. Initial DSH Calculation Step 1 Hospital DSH Limit a DSH Limit Reduction Amount b Reduced Hospital DSH Limit c a b Section 3 Authorized Signature. If the State does not receive feedback from your...
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