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Be used to determine the patient’s eligibility for nursing facility care. I understand any intentional act on my part to provide false information that will potentially result in a person obtaining benefits or coverage to which s/he is not entitled is considered an act of fraud under the State’s TennCare program and Title XIX of the Social Security Act. I further understand that under the Tennessee Medicaid False Claims Act any person who presents, or causes to be presented, to the State, a .

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