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MT-12-002

Provider Screening and Enrollment.

State

Topics

Approval Date

Wed, 05/30/2012 - 12:00

Effective Date

Sun, 04/01/2012 - 12:00

File 1 - Approval Document Media

MT-12-002-Ltr.pdf

File 3 - Attachment Media

MT-12-002-Att.pdf

File 4 - Form CMS-179 Media

MT-12-002-179.pdf