PR_Fee_Oth_new_20231001-20240930

File - Approval Letter Media

PR_Fee_Oth_new_20231001-20240930

Approval Date

Tue, 02/27/2024 - 12:00

Effective Date

Sun, 10/01/2023 - 12:00

State

Payment Type

Provider Class

Review Type

State Rating Period Start Date

Sun, 10/01/2023 - 12:00

Approval Period

Single Rating Period

State Rating Period End Date

Mon, 09/30/2024 - 12:00