justin 0b06043437 healthcare: verify wet-signature requirements across all services ...

Source-grounded check of which services need an ORIGINAL ink signature (plotter
target) vs e-sign/typed. Verified firsthand against the official forms:

- Confirmed wet-ink: the 5 CMS Medicare/NPI paper filings only (855I/B/O +
  10114), which are exactly the no-login Standard-path filings the plotter serves.
- CLIA CMS-116 does NOT require original ink — the form explicitly permits 'SIGN
  IN INK OR USE A SECURE ELECTRONIC SIGNATURE', so our digital stamp suffices;
  plotter optional for CLIA.
- DEA registration/renewal is online-only (Form 224 unavailable in PDF),
  e-certified, no wet ink.
- State CSR / state Medicaid are the only open items: paper in many states but
  original-ink-vs-e-sign is state-specific; verify per state.
- All FCC/telecom/DOT/BOC-3/CRTC/PUC filings are electronic (e-sign fine).

Added the verified matrix to state-healthcare-compliance-opportunities.md, saved
docs/CMS-116 Form.pdf, and the plotter plan.

2026-06-07 02:40:47 -05:00

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