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December 2016 Texas Medicaid Provider Procedures Manual

Section 1: Provider Enrollment and Responsibilities : 1.1 Provider Enrollment and Reenrollment : 1.1.9 Required Enrollment Forms : 1.1.9.7 Medicaid Audit Information Form

1.1.9.7
The Medicaid Audit Information Form is required by facilities that file cost reports such as hospitals, home health agencies, FQHCs, RHCs, and dialysis facilities.

Texas Medicaid & Healthcare Partnership
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