Reference: Ref-06750
Reference Name: | Direct Reimbursement to Providers and Recipients - Claim Forms |
Agency: | 59 Agency for Health Care Administration 59G Medicaid |
Original Document(s): |
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Modified Document(s): | No Modified document(s). | |||||
Description: | These forms are to be completed and submitted by providers and recipients for direct reimbursement requests. |
Disclaimer: External links within the reference material are subject to change outside of the rulemaking process.
Rules/Notices using this Reference MaterialNotice / Adopted |
Description | ID | Publish Date |
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Direct Reimbursement to Recipents | 17543437 |
Effective: 06/02/2016 |