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Get the free RE: Arizona SPA #21-019, Outpatient Hospital Rates

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Douglas A. Ducey, Governor Jami Snyder, Director November 10, 2021, Mark Wong Division of Medicaid and Children's Health Operations U.S. Department of Health & Human Services Centers for Medicare
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Obtain a copy of the Arizona SPA 21-019 form.
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Individuals who are required to report certain information to the state of Arizona may need to fill out the SPA 21-019 form.
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The re arizona spa 21-019 is a state tax form used to report certain types of income and deductions for individuals in Arizona.
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