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Name: Fillable Online State Plan Amendment Prospective Payment Reimbursement Fax Email Print - pdfFiller
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This document outlines the reimbursement methodology for Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) for services furnished to Medi-Cal beneficiaries. It includes details

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Attachment 419-b is a specific form or document required for certain tax filings, detailing additional information pertinent to the taxpayer's situation.

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Taxpayers who meet certain criteria, such as particular income levels or specific types of deductions or credits, are required to file attachment 419-b.

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Attachment 419-b must report detailed income information, applicable deductions, credits claimed, and any other relevant financial data as specified by the tax guidelines.

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