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Element 2 National Provider Identifier Enter the 10-digit National Provider Identifier of the pharmacy. Personally identifiable information about providers is used for purposes directly related to program administration such as determining the certification of providers or processing provider claims for reimbursement. DEPARTMENT OF HEALTH SERVICES Division of Medicaid Services F-00030A 01/2017 STATE OF WISCONSIN FORWARDHEALTH STATE MAXIMUM ALLOWED COST DRUG PRICING REVIEW REQUEST COMPLETION...
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What is state maximum allowed cost?
The state maximum allowed cost is the maximum amount that can be charged for a specified service or product in a particular state.
Who is required to file state maximum allowed cost?
Healthcare providers and facilities are required to file state maximum allowed cost.
How to fill out state maximum allowed cost?
State maximum allowed cost can be filled out by providing the relevant information such as the service or product being offered and the associated cost.
What is the purpose of state maximum allowed cost?
The purpose of state maximum allowed cost is to ensure that healthcare services are priced fairly and transparently for all patients.
What information must be reported on state maximum allowed cost?
Information such as the service or product being offered, the associated cost, and any applicable regulations must be reported on state maximum allowed cost.
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