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 AE

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

OMB: 0938-0193

Document [doc]
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64


Revision: HCFA‑AT‑80‑60 (BPP)

August 12, 1980


State:


Citation 4.19(h) The Medicaid agency meets the requirements

42 CFR 447.201 of 42 CFR 447.203 for documentation and

42 CFR 447.203 availability of payment rates.

AT‑78‑90




























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TN No.

Supersedes Approval Date Effective Date

TN No.


File Typeapplication/msword
AuthorCMS
Last Modified ByCTAC
File Modified2012-06-28
File Created2012-06-28

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