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DBMD Form 6500 and Instructions Update

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An update to DBMD Form 6500 DBMD and CFC – Individual Plan of Care is available. The effective date is March 2025. An update to DBMD Form 6500-T DBMD and CFC – IPC Service Delivery Transfer Worksheet is available. The effective date is January 2025. The instructions were updated. Click here for the new forms.