FORMS (12VAC5-216).
Hospital Historical Filing, 03-01 (rev. 4/30/96).
Indicator Definitions – Acute Care Hospitals (rev. 10/15/96).
Special Services Utilization Calculations
Ambulatory Surgical Hospital Historical Filing, 03-02 (rev. 4/30/96).
Indicator Definitions – Ambulatory Surgery Hospitals (rev. 10/15/96).
Nursing Home Historical Filing, 03-03 (rev. 4/30/96).
Indicator Definitions – Nursing Homes (rev. 10/15/96).
Psychiatric Hospital Historical Filing, 03-05 (rev. 4/30/96).
Indicator Definitions – Psychiatric Hospitals (rev. 10/15/96).
Rehabilitation Hospital Historical Filing, 03-06 (rev. 4/30/96).
Indicator Definitions – Rehabilitation Hospitals (rev. 10/15/96).
Income Statement Reconciliation Worksheet, 04-04 (rev. 4/30/96).