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Caregiver Fee On New Form Checklist

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This may be a dumb question......

On the LARA checklist page there is a $60 patient fee. Just below that is a Caregiver fee $25. Who pays this $25? I'm about to send my renewal in $60, I do have a caregiver, do I have to pay this $25 each time I renew and have a caregiver? Or is the fee for Caregivers? I'm confused.

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