Section Rev 2702.02 - Form DP-156, Nursing Facility Quality Assessment Return(a) Form DP-156, "Nursing Facility Quality Assessment Return", shall be completed and filed by nursing facilities with the department as provided in Rev 2904.03, including by electronic filing, pursuant to RSA 84-C:4, to report their net patient services revenue to the department.(b) If the return was completed by a paid preparer, the preparer shall: (1) Sign and date Form DP-156 in ink as provided in Rev 2904.04 or by electronic signature as provided in Rev 2904.05;(2) Provide the preparer's federal employer identification number; and(3) Provide the preparer's complete mailing address.(c) The nursing facility shall be required to file the return but not remit the payment, if the resulting assessment is less than $1.00.N.H. Admin. Code § Rev 2702.02
#8226, INTERIM, eff 12-10-04, EXPIRES: 6-8-05; ss by #8371, eff 6-8-05; ss by #10387, eff 7-25-13
Amended by Volume XXXIX Number 46, Filed November 14, 2019, Proposed by #12907, Effective 10/23/2019, Expires 10/23/2029Amended by Number 28, Filed July 13, 2023, Proposed by #13661, Effective 6/21/2023, Expires 6/21/2033.