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UPL
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#	Item
111	SAMPLE Board of Director’s Profile (Any Board profile format may be used, but this template can be adopted for those organizations that currently lack a Board of Director’s profile. Simply fill in the blanks and upl Add to Reading List Source URL: grantsreform.ny.gov - Date: 2013-08-16 13:05:08
112	Microsoft Word - UPL Revised Complaint Form.doc Add to Reading List Source URL: www.tn.gov Language: English - Date: 2011-07-20 17:32:56 Lawsuit Legal documents Complaint Ringtone
113	Microsoft Word - UPL FINAL Revised Complaint Form SPANISH JSH.doc Add to Reading List Source URL: www.tn.gov Language: Spanish - Date: 2011-07-20 17:32:56
114	SFY 2004 Private UPL Supplemental Payment Privately Owned and Operated Facilities Provider[removed][removed] Add to Reading List Source URL: www.in.gov Language: English - Date: 2014-07-28 15:13:10 Memorial Hospital of South Bend South Bend Indiana Lafayette Home Hospital Parkview Hospital Indiana New York Medical College Lafayette Indiana
115	Clinic Services Narrative Instructions I. Verification of Clinic UPL Services Prior to calculating the clinic upper payment limit (UPL), states must first verify which clinic services are subject to the clinic UPL. Serv Add to Reading List Source URL: medicaid.gov Language: English - Date: 2014-07-14 11:43:27 Health Healthcare in the United States Medicaid Medicare Medicine United States Rural health clinic Federally Qualified Health Center Resource-based relative value scale Federal assistance in the United States Healthcare reform in the United States Presidency of Lyndon B. Johnson
116	Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/ID) Services Narrative Instructions I. The Basis of the UPL Formula States generally demonstrate, and CMS has accepted, the UPL based on a co Add to Reading List Source URL: medicaid.gov Language: English - Date: 2014-07-14 11:42:54 Medicaid Medicare Health Government United States Disproportionate share hospital Accountable care organization Federal assistance in the United States Healthcare reform in the United States Presidency of Lyndon B. Johnson
117	Clinic Services Narrative Instructions I. Verification of Clinic UPL Services Prior to calculating the clinic upper payment limit (UPL), states must first verify which clinic services are subject to the clinic UPL. Serv Add to Reading List Source URL: www.medicaid.gov Language: English - Date: 2014-07-14 11:43:27 Health Healthcare in the United States Medicaid Medicare Medicine United States Rural health clinic Federally Qualified Health Center Resource-based relative value scale Federal assistance in the United States Healthcare reform in the United States Presidency of Lyndon B. Johnson
118	Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/ID) Services Narrative Instructions I. The Basis of the UPL Formula States generally demonstrate, and CMS has accepted, the UPL based on a co Add to Reading List Source URL: www.medicaid.gov Language: English - Date: 2014-07-14 11:42:54 Medicaid Medicare Health Government United States Disproportionate share hospital Accountable care organization Federal assistance in the United States Healthcare reform in the United States Presidency of Lyndon B. Johnson
119	Nursing Facility UPL Guidance I. The Basis of the UPL Formula is: Cost-Based Demonstration (e.g. Routine per diem X Medicaid covered days, and Cost-tocharge ratio X Medicaid covered NF charges), or Add to Reading List Source URL: www.medicaid.gov Language: English - Date: 2014-07-14 11:43:19 Medicine Health Medicaid Medicare Nursing home Government Disproportionate share hospital Federal assistance in the United States Healthcare reform in the United States Presidency of Lyndon B. Johnson
120	Nursing Facility UPL Guidance I. The Basis of the UPL Formula is: Cost-Based Demonstration (e.g. Routine per diem X Medicaid covered days, and Cost-tocharge ratio X Medicaid covered NF charges), or Add to Reading List Source URL: medicaid.gov Language: English - Date: 2014-07-14 11:43:19 Medicine Health Medicaid Medicare Nursing home Government Disproportionate share hospital Federal assistance in the United States Healthcare reform in the United States Presidency of Lyndon B. Johnson

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