Reference: Ref-07014

Reference Name: State of Florida Exception to Hysterectomy Acknowledgment Requirement, ETA-5001
Agency: 59 Agency for Health Care Administration
59G Medicaid

Original Document(s):
5/27/2016 Add new form to Rule 59G-1.045.
Modified Document(s): No Modified document(s).
Description: Add new form to Rule 59G-1.045.
Rules/Notices using this Reference Material
Notice /
Adopted
Section Description ID Publish
Date
View Text Final
59G-1.045
Medicaid Forms 18753415 Effective:
04/05/2017
View Text Final
59G-1.045
Medicaid Forms 17691265 Effective:
07/11/2016