PROVIDER AGREEMENT (MEDICAID)
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https://kdads.ks.gov/docs/librariesprovider17/ltss/nursing-facility-(nf)-and-nursing-facility-for-mental-health-(nfmh)-rates-cost-reports/intermediate-care-facilities-for-individuals-with-intellectual-disabilities-(icf-iid)/revalidation/icf-provider-agreement-form.pdf?sfvrsn=dc1823fe_3Unless the owner has removed it from the web, you can access the full document via its original URL:
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