Florida Department of State and Division of Library and Information Services

Reference: Ref-07016

Reference Name: Unborn Activation Form, AHCA Form 5240-006
Agency: 59 Agency for Health Care Administration
59G Medicaid

Modified Document(s):
10/10/2016 The Florida Medicaid Fiscal Agent's fax number was corrected.
Original Document(s):
5/27/2016 Add new form to Rule 59G-1.045.
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		 Section Description ID Publish
Date
View Text Development
59G-1.045 		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
View Text Final
59G-1.045 		Medicaid Forms 17691265 Effective:
07/11/2016



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