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IMPLEMENTATION DATE: July 16, 2010 . ... the hospital’s dedicated emergency department with those signs and symptoms, regardless of the individual’s ability to pay for medical care. If a hospital applies in a nondiscriminatory manner (i.e., a different level of care must not exist based on payment status, race, national origin, etc.) a ...
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DEPARTMENT OF HEALTH AND HUMAN SERVICES …
www.cms.govform cms-116 (09/17) 2 city, state, zip code . name and address/location tests performed/specialty/subspecialty name of laboratory or hospital department
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