Ref-07915 Unborn Activation Form, AHCA Form 5240-006, February 2017

 
AHCA 5240-006 Unborn Activation February 2017.pdf
For use by providers to activate a newborn’s Medicaid Identification (ID) Number when they have been determined eligible by the Florida Department of Children and Families.   2/3/2017

Description:

For use by providers to activate a newborn’s Medicaid Identification (ID) Number when they have been determined eligible by the Florida Department of Children and Families.