Reference: Ref-07915

Reference Name: Unborn Activation Form, AHCA Form 5240-006, February 2017
Agency: 59 Agency for Health Care Administration
59G Medicaid

Original Document(s):
2/2/2017 For use by providers to activate a newborn’s Medicaid Identification (ID) Number when they have been determined ...
Modified Document(s): No Modified document(s).
Description: For use by providers to activate a newborn’s Medicaid Identification (ID) Number when they have been determined eligible by the Florida Department of Children and Families.
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