Get the free what is the meds person no on medicaid form bhsf form 96 a - new dhh louisiana
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BHSF Form 96A Revised 05/06 Medicaid Program Acknowledgment of Receipt of Hysterectomy Information Recipient Name MEDS Person No. Physician Name Provider No. Payment by Louisiana s Medicaid Program cannot be authorized for any hysterectomy performed solely for the purpose of rendering an individual permanently incapable of reproducing or where if there is more than one purpose for the procedure the hysterectomy would not be performed except for t...
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