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IA_Fee_Oth_Renewal_20240701-20250630

File - Approval Letter Media

IA_Fee_Oth_Renewal_20240701-20250630

Approval Date

Tue, 10/01/2024 - 12:00

Effective Date

Mon, 07/01/2024 - 12:00

State

Payment Type

Provider Class

Review Type

State Rating Period Start Date

Mon, 07/01/2024 - 12:00

Approval Period

Single Rating Period

State Rating Period End Date

Mon, 06/30/2025 - 12:00