Reference: Ref-07015
| Reference Name: | State of Florida Hysterectomy Acknowledgment Form, HAF-5000 |
| Agency: | 59 Agency for Health Care Administration 59G Medicaid |
| Modified Document(s): |
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| Adopted Document(s): |
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| Proposed Document(s): |
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| Description: | Add new 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 |
Description | ID | Publish Date |
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Medicaid Forms | 19983084 |
Effective: 02/08/2018 |
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Medicaid Forms | 18753415 |
Effective: 04/05/2017 |
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The purpose of the amendment to Rule 59G-1.045, Florida Administrative Code, is to update forms required by Florida Medicaid that impact multiple services. | 18520809 |
1/24/2017 Vol. 43/15 |
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The purpose of the amendment to Rule 59G-1.045, Florida Administrative Code, is to update certain forms required under the Florida Medicaid Program. The amendment updates existing forms and incorporates by reference additional .... | 18044151 |
9/23/2016 Vol. 42/186 |
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Medicaid Forms | 17691265 |
Effective: 07/11/2016 |
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