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Get the free www.medicaid.gov state-resource-center downloadsAPPENDIX K - medicaid.gov

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APPENDIX K: Emergency Preparedness and Response and COVID-19 Addendum Background: This standalone appendix may be utilized by the state during emergency situations to request amendments to its approved
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It is a form used for reporting certain information related to Medicaid.
Healthcare providers participating in the Medicaid program.
The form must be filled out electronically and submitted through the designated portal.
To collect data on Medicaid services provided by healthcare providers.
Details of Medicaid services rendered, patient demographics, and payment information.
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