r105 form
105 CMR, 170.275 - Waiver | State Regulations | US Law
An applicant for a license, or a licensee under 105 CMR 170.000, may apply to the Department for a temporary waiver of those requirements with which the
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Request a waiver for requirements of 105 CMR 722
In some cases, hospitals can request a waiver from the requirements of 105 CMR 722.080 or 105 CMR 722.090. Submit your request here.
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Medicare
Line 105--If this hospital qualifies as a critical access hospital (CAH), enter Y for yes in column 1. Otherwise, enter N for no, and skip to line 108
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