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If applicable include all DSM III R/DSM IV/DSM IV-TR Axis I and II diagnosis es code s and admission and discharge summary s. 913 Florida Statutes If No do not answer 11a. 11a. If you have been terminated but reinstated have you been in good standing with the Florida Medicaid Program for the most recent five years by the state from any other state Medicaid program If No do not answer 12a or 12b 12a. Have you been in good standing with a state Medicaid program for the most recent five years...
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