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COMAR 10.09.24.12
1221 State of Maryland Medical Assistance Manual Revised July 2012
501 NOTIFICATION LETTER
DATE
ADMINISTRATOR LONG-TERM-CARE FACILITY MAILING ADDRESS
DEAR MR/MS
:
This notice is to advise you that a Long-Term-Care span has been opened for (Patients Name, MA Number) covering the period (Begin Date to Date of Discharge). The covered period is for a length of stay of less than 30 days requested by the LDSS.
If you have any questions regarding this notice, please call Ms. Jewel Bennett at (410) 767-4913. Thank you.
Sincerely,
Willard Dixon, Manager
Long –Term-Care/Special Projects Unit