Reference: Ref-13975
| Reference Name: | Florida Medicaid Provider Enrollment Application Out of State Fee for Service, AHCA Form 5000-1260, (JAN 2021) |
| Agency: | 59 Agency for Health Care Administration 59G Medicaid |
| Original Document(s): |
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| Modified Document(s): | No Modified document(s). | |||||
| Description: | ||||||
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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Provider Enrollment Policy | 25495012 |
Effective: 02/09/2022 |
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