SC_Fee_Oth_New_20230701-20240630

File - Approval Letter Media

SC_Fee_Oth_New_20230701-20240630

Approval Date

Mon, 06/26/2023 - 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