WI_Fee_Oth_Renewal_20230101-20231231

File - Approval Letter Media

wi-fee-oth-renewal-20230101-20231231

Approval Date

Fri, 04/28/2023 - 12:00

Effective Date

Sun, 01/01/2023 - 12:00

State

Payment Type

Provider Class

Review Type

State Rating Period Start Date

Sun, 01/01/2023 - 12:00

Approval Period

Single Rating Period

State Rating Period End Date

Sun, 12/31/2023 - 12:00