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STATE OF RHODE ISLAND EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES 4/25/22 PUBLIC NOTICE OF PROPOSED AMENDMENT TO RHODE ISLAND MEDICAID STATE PLAN In accordance Rhode Island General Laws 4235, notice

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Fill in your personal information accurately, including your name, address, and contact information.

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Clearly indicate the details of the proposed amendment that you are seeking, including any relevant dates or information.

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What is notice of proposed amendment?

Notice of proposed amendment is a formal notification submitted to make changes to a legal document or agreement.

Who is required to file notice of proposed amendment?

The party or parties involved in the agreement are required to file the notice of proposed amendment.

How to fill out notice of proposed amendment?

Notice of proposed amendment can be filled out by providing the requested information about the changes being proposed and following the specific guidelines set forth in the agreement.

What is the purpose of notice of proposed amendment?

The purpose of notice of proposed amendment is to officially document and communicate proposed changes to a legal agreement.

What information must be reported on notice of proposed amendment?

The notice of proposed amendment must include details about the proposed changes, relevant parties involved, effective date of the changes, and any other required information specified in the agreement.

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