State Plan Under Title XIX of the Social Security Act (Base plan pages)

State Plan Under Title XIX of the Social Security Act (Base plan pages, Attachments, Supplements to Attachments)

Exhibit AD

State Plan Under Title XIX of the Social Security Act (Base plan pages)

OMB: 0938-0193

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63


Revision: HCFA‑AT‑80‑38(BPP)

May 22, 1980


State:


Citation 4.19(g) The Medicaid agency assures appropriate

42 CFR 447.201 audit of records when payment is based on

42 CFR 447.202 costs of services or on a fee plus

AT‑78‑90 cost of materials.





























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TN No.

Supersedes Approval Date Effective Date

TN No.


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File Modified2012-06-28
File Created2012-06-28

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