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2012 Texas Medicaid Provider Procedures Manual

Volume 1, General Information : Section 1: Provider Enrollment and Responsibilities : 1.1 Provider Enrollment : 1.1.5 Required Enrollment Forms : 1.1.5.6 Medicaid Audit Information Form

1.1.5.6
Medicaid Audit Information Form
The Medicaid Audit Information Form is required by facilities such as hospitals, home health agencies, FQHCs, RHCs, and dialysis facilities.

Texas Medicaid & Healthcare Partnership
CPT only copyright 2011 American Medical Association. All rights reserved.