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OR-11-012

Revises coverage for dental service.

State

Topics

Approval Date

Wed, 12/21/2011 - 12:00

Effective Date

Tue, 11/15/2011 - 12:00

File 1 - Approval Document Media

OR-11-012-Ltr.pdf

File 3 - Attachment Media

OR-11-012-Att.pdf

File 4 - Form CMS-179 Media

OR-11-012-179.pdf