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Click ‘Get Form’ to open the 1993 INF-17 in the editor.
Begin by filling in the date at the top of the form. This is essential for record-keeping and compliance.
In the section labeled 'Model Statement', clearly state your intention to close the Family Type Home. Ensure you check all applicable boxes regarding your inability to locate the operating certificate.
Sign and date where indicated, ensuring that all operators involved provide their signatures. This confirms your agreement with the statements made.
Lastly, have a local district staff person sign as a witness. This step is crucial for validating your closure process.
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Care Coordination Organization/ Health Home (CCO/HH)
The purpose of this Manual is to provide Medicaid policy and comprehensive guidance to providers participating in the New York State Health Home program
How New York City Can Transform Vacant Hotels To House
by M Degenhardt 2023 CityFHEPS were capped at $1,265 a month for single adults and $1,580 for a family of three or four.103 By aligning with Section 8 standards
by FTH Coordinators 1993 Included in the regulations is the requirement that the Family Type Home operator surrender the operating certificate to the local department of social services
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