CA_Fee_IPH.OPH.AMC.PC.SP.NF_Renewal_20230101-20231231

File - Approval Letter Media

CA_Fee_IPH.OPH.AMC.PC.SP.NF_Renewal_20230101-20231231

Approval Date

Fri, 09/08/2023 - 12:00

Effective Date

Sun, 01/01/2023 - 12:00

State

Payment Type

Provider Class

Inpatient hospital service

Nursing facility services

Outpatient hospital service

Primary care services

Professional services at an academic medical center

Specialty physician services

Review Type

State Rating Period Start Date

Sun, 01/01/2023 - 12:00

Approval Period

Single Rating Period

State Rating Period End Date

Sun, 12/31/2023 - 12:00