Cost Sheet Format In Excel 41392

71x Filetype XLSX File size 0.12 MB Source: www.dshs.wa.gov

File: Cost Sheet Format In Excel 41392 | 06 123

sheet 1 06123 page 1 nursing assistant training and testing reimbursement office of rates management overnight deliveries blake west 4450 10th ave se lacey wa 98503 mailing po box 45600 ...

Filetype Excel XLSX | Posted on 15 Aug 2022 | 4 years ago

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...Sheet page nursing assistant training and testing reimbursement office of rates management overnight deliveries blake west th ave se lacey wa mailing po box olympia provider completes susbmits forms quarterly request must be received no later than days after the end quarter shaded area for dshs use only a information name medicaid percent one number contact person telephone include code vendor s fax email address b direct care costs requested current allowable cost staff conducting salaries benefits payroll taxes online module preapproved monthly by or per student c operating books materials supplies provided to assistants fee paid other institution cpr reimbursed employees prior d total share pay this amount round whole percentage e authorization i certify under penalty perjury items totals listed are proper charges services furnished have properly accounted proceeds from individuals facilities without discrimination on grounds race creed national origin sex age administrator signatur...

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Category: Uncategorized / Uncategorized
Posted on: 15 Aug 2022 | 4 years ago
Tag: download xlsx,
Filetype: XLSX
File size: 0.12 MB
Views: 71x
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