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Provider Report Documents

Basic Care Facilities:

  • These reports may be downloaded for your convenience. Please submit a printed and signed copy of the completed report to the Department of Human Services' Provider Audit Unit by the appropriate deadline.
  • The information provided will be used to establish rates beginning July 1, 2012.
  • See the cover letter below for details.
  • If you have questions, please contact Provider Audit at (701) 328-7560.

Note: One of the links above requires that you have Microsoft Excel on your computer. If you do not, you may download a free Excel viewer from the Microsoft web site.

 

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