AL-14-0018-MC4

This SPA incorporates the Modified Adjusted Gross Income MAGI.

Status

File 3 - Approval Letter

AL-14-0018-MC4.pdf ( PDF, application/pdf )

Approval Date

Wed, 10/29/2014 - 12:00

Effective Date

Tue, 10/01/2013 - 12:00

State

Topics

Financing & Reimbursement

File - Approval Letter Media

AL-14-0018-MC4.pdf