Florida Department of State and Division of Library and Information Services

Reference: Ref-15489

Reference Name: DFS-D0-1990 Medicare Secondary Payer Reporting Questionnaire
Agency: 69 Department of Financial Services
69H Division of Risk Management

Modified Document(s): No Modified document(s).
Adopted Document(s):
6/13/2023 DFS-D0-1990 Medicare Secondary Payer Reporting Questionnaire
Proposed Document(s):
6/6/2023 DFS-D0-1990 Medicare Secondary Payer Reporting Questionnaire
Description: DFS-D0-1990 Medicare Secondary Payer Reporting Questionnaire

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
69H-2.008 		Other Forms Adopted 27290191 Effective:
07/18/2023



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