IA_Fee_Oth_Renewal_20230701-20240630

File - Approval Letter Media

ia-fee-oth-renewal-20230701-20240630

Approval Date

Fri, 10/27/2023 - 12:00

Effective Date

Sat, 07/01/2023 - 12:00

State

Payment Type

Provider Class

Review Type

State Rating Period Start Date

Sat, 07/01/2023 - 12:00

Approval Period

Single Rating Period

State Rating Period End Date

Sun, 06/30/2024 - 12:00