Reference: Ref-09059
| Reference Name: | Consent for Voluntary Suspension of Authorized Services for Florida Medicaid State Plan Recipients, AHCA Form 5000-0123, August 2017 |
| 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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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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|---|---|---|---|---|
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Medicaid Forms | 19983084 |
Effective: 02/08/2018 |
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