CMS-179 4.19(h)

State Plan Under Title XIX of the Social Security Act (Base plan pages, Attachments, Supplements to Attachments) (CMS-179)

Exhibit AE (2)

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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Supersedes Approval Date Effective Date

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AuthorCMS
Last Modified ByAnnette Pearson
File Modified2015-04-09
File Created2015-04-09

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