Form - FORMS (12VAC5-216)

Current through Register Vol.. 38, No. 17, April 11, 2022

Hospital Historical Filing, 03-01 (rev. 4/30/96).

Indicator Definitions - Acute Care Hospitals (rev. 10/15/96).

Special Services Utilization Calculations

Ambulatory Surgical Hospital Historical Filing, 03-02 (rev. 4/30/96).

Indicator Definitions - Ambulatory Surgery Hospitals (rev. 10/15/96).

Nursing Home Historical Filing, 03-03 (rev. 4/30/96).

Indicator Definitions - Nursing Homes (rev. 10/15/96).

Psychiatric Hospital Historical Filing, 03-05 (rev. 4/30/96).

Indicator Definitions - Psychiatric Hospitals (rev. 10/15/96).

Rehabilitation Hospital Historical Filing, 03-06 (rev. 4/30/96).

Indicator Definitions - Rehabilitation Hospitals (rev. 10/15/96).

Income Statement Reconciliation Worksheet, 04-04 (rev. 4/30/96).

The following state regulations pages link to this page.



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