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DPHHS-SLTC-041 (Rev. 05/04) STATE OF MONTANA Department of Public Health and Human Services Senior and Long-Term Care Division P.O. Box 4210 Helena, Montana 59604-4210 (406) 444-4077 REQUEST FOR THERAPEUTIC
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What is dphhs sltc 042?
DPHHS SLTC 042 is a form used by the Department of Public Health and Human Services (DPHHS) for reporting certain long-term care services and costs.
Who is required to file dphhs sltc 042?
The providers of long-term care services are required to file DPHHS SLTC 042.
How to fill out dphhs sltc 042?
To fill out DPHHS SLTC 042, providers need to provide detailed information about the long-term care services they have provided and the associated costs. The form must be completed accurately and submitted to the DPHHS according to the specified guidelines.
What is the purpose of dphhs sltc 042?
The purpose of DPHHS SLTC 042 is to track and monitor long-term care services and costs in order to ensure compliance with regulations and to ensure the quality of care provided.
What information must be reported on dphhs sltc 042?
DPHHS SLTC 042 requires providers to report information such as the type of service provided, the dates of service, the number of hours or units provided, and the associated costs.
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