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DOCUMENT HISTORY LOG STATUS1 DOCUMENT REVISION2 EFFECTIVE DATE DESCRIPTION3 Baseline 2.0 May 1, 2016, Initial version Uniform Managed Care Manual, Chapter 3.33 “STAR Kids Provider Manual Combined
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33 quotstar kids provider is a form used to report information about children receiving services under the Star Kids program.
Healthcare providers and facilities participating in the Star Kids program are required to file 33 quotstar kids provider.
To fill out 33 quotstar kids provider, providers need to input information about the services provided to children enrolled in the Star Kids program.
The purpose of 33 quotstar kids provider is to track and monitor the healthcare services received by children enrolled in the Star Kids program.
Information such as the type of services provided, dates of service, diagnosis codes, and billing information must be reported on 33 quotstar kids provider.
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