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Ref-07016 Unborn Activation Form, AHCA Form 5240-006

5240-006 June 2016.pdf

Add new form to Rule 59G-1.045.

Unborn Activation Form 5240 006 June 2016.pdf

The Florida Medicaid Fiscal Agent's fax number was corrected. 10/14/2016

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Agency:: Agency for Health Care Administration
59G. Medicaid

Description:: Add new form to Rule 59G-1.045.

Related Rules

59G-1.045 Medicaid Forms

Related Notices

18044151.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 forms that are specified in various Florida Medicaid policies.