Florida Department of State and Division of Library and Information Services

Reference: Ref-07013

Reference Name: State of Florida Abortion Certification Form, AHCA MedServ Form 011
Agency: 59 Agency for Health Care Administration
59G Medicaid

Modified Document(s): No Modified document(s).
Adopted Document(s):
6/7/2016 Add form to Rule 59G-1.045.
Proposed Document(s):
5/27/2016 Add form to Rule 59G-1.045.
Description: Add form to Rule 59G-1.045.

Disclaimer: External links within the reference material are subject to change outside of the rulemaking process.

Rules/Notices using this Reference Material
Notice /
Adopted		 Section Description ID Publish
Date
View Text Final
59G-1.045 		Medicaid Forms 19983084 Effective:
02/08/2018
View Text Final
59G-1.045 		Medicaid Forms 18753415 Effective:
04/05/2017
View Text Final
59G-1.045 		Medicaid Forms 17691265 Effective:
07/11/2016



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