Name of Terminated Reason Reinstated Terminated by: Hospital 10 words. Single, 20 10 words. Nothing list. words. Nothing required 1: Applicant, Nothing required 2: Hospital, required 3: N/A 10 Single, 20 10 words. Nothing list. words. Nothing required 1: Applicant, Nothing required 2: Hospital, required 3: N/A 10 words. Single, 20 10 words. Nothing list. words. Nothing required 1: Applicant, Nothing required 2: Hospital, required 3: N/A 10 words. Single, 20 10 words. Nothing list. words. Nothing required 1: Applicant, Nothing required 2: Hospital, required 3: N/A 10 words. Single, 20 10 words. Nothing list. Nothing Nothing required 1: Applicant, required required 2: Hospital, 3: N/A 10 words. Single, 20 10 words. Nothing list. words. Nothing required 1: Applicant, Nothing required 2: Hospital, required 3: N/A 10 words. Single, 20 10 Nothing list. Nothing Nothing required 1: Applicant, required required 2: Hospital, 3: N/A 10 words. Single, 20 10 words. Nothing list. Nothing Nothing required 1: Applicant, required required 2: Hospital, 3: N/A 10 words. Single, 20 10 words. Nothing list. words. Nothing required 1: Applicant, Nothing required 2: Hospital, required 3: N/A
Name of Terminated Hospital Terminated by: Reason Reinstated 10 words. Nothing required Single, list. 1: Applicant, 2: Hospital, 3: N/A 20 words. Nothing required 10 words. Nothing required 10 Nothing required Single, list. 1: Applicant, 2: Hospital, 3: N/A 20 words. Nothing required 10 words. Nothing required 10 words. Nothing required Single, list. 1: Applicant, 2: Hospital, 3: N/A 20 words. Nothing required 10 words. Nothing required 10 words. Nothing required Single, list. 1: Applicant, 2: Hospital, 3: N/A 20 words. Nothing required 10 words. Nothing required 10 words. Nothing required Single, list. 1: Applicant, 2: Hospital, 3: N/A 20 Nothing required 10 words. Nothing required 10 words. Nothing required Single, list. 1: Applicant, 2: Hospital, 3: N/A 20 words. Nothing required 10 words. Nothing required 10 words. Nothing required Single, list. 1: Applicant, 2: Hospital, 3: N/A 20 Nothing required 10 Nothing required 10 words. Nothing required Single, list. 1: Applicant, 2: Hospital, 3: N/A 20 Nothing required 10 words. Nothing required 10 words. Nothing required Single, list. 1: Applicant, 2: Hospital, 3: N/A 20 words. Nothing required 10 words. Nothing required
CCSB%20QHP%20Certification%20Application%20Plan%20Year%202019%20Quarterly%20Application_Final.docx