Reference: Ref-07015

Reference Name: State of Florida Hysterectomy Acknowledgment Form, HAF-5000
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 Proposed
59G-1.045
The purpose of the amendment to Rule 59G-1.045, Florida Administrative Code, is to update forms required by Florida Medicaid that impact multiple services. 18520809 1/24/2017
Vol. 43/15
View Text Development
59G-1.045
The purpose of the amendment to Rule 59G-1.045, Florida Administrative Code, is to update certain forms required under the Florida Medicaid Program. The amendment updates existing forms and incorporates by reference additional .... 18044151 9/23/2016
Vol. 42/186
View Text Final
59G-1.045
Medicaid Forms 17691265 Effective:
07/11/2016