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Ref-13975 Florida Medicaid Provider Enrollment Application Out of State Fee for Service, AHCA Form 5000-1260, (JAN 2021)
Florida Medicaid Provider Enrollment Application Out of State Fee for Service.docx
1/3/2022
Visit the Official Version
Agency:
Agency for Health Care Administration
59G. Medicaid
Related Rules
59G-1.060 Provider Enrollment Policy
