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Dc 1513 form ownership statement-2025

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The document provides instructions for completing the Disclosure of Ownership and Control Interest Statement (DC-1513) required by the Department of Health's Health Regulation Administration. It outlines the necessity for accurate disclosure of ownership and financial interests as a condition for participation in various health programs. Specific instructions are given for Title V and Title XX providers, detailing what information must be reported regarding ownership, management changes, and affiliations with other facilities. The document emphasizes the importance of compliance to avoid contract denial or termination.

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