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Services
Provider Notice issued 05/14/07
Remove Appendix C-10 and replace with HFS 1156 (pdf).
Long Term Care Provider Handbook Update - Revised Form HFS 1156, LTC Facility Notification
| To: |
Long Term Care Providers (ICF and SNF) |
| Date: | May 14, 2007 |
| Re: | Long Term Care Provider Handbook Update - Revised Form HFS 1156, LTC Facility Notification |
Form HFS 1156, Long Term Care Facility Notification, has been revised by adding a “Place of Birth” field at the top of the form.
Copies of this and previous notices may be found on the department’s Web site at: www.hfs.illinois.gov/ltc/
The revised Form HFS 1156 may be downloaded at:
www.hfs.illinois.gov/medicalforms/
If you have any questions, contact the Bureau of Long Term Care at 217-782-0545.
HANDBOOK REVISIONS