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Entering Status Information


On this page, you will enter the status for the Special Services Review with the selected Provider by completing the following fields.

Special Services Status*

Select Yes or No by clicking on the radio button () next to the field.

Status Reason*

Select one of the reasons by clicking on the () to access the drop-down list for choices.

Approved agreement

Failure to meet training requirements

Violation of regulations

Status Date*

Enter the date using the mm/dd/yyyy format in this field.

Notes

Enter any text needed to describe the incident if appropriate.  The Note Last Updated field will be system-generated upon submission of the page if any notes have been recorded.