Map 811 2015 form-2025

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The document outlines the enrollment process for providers seeking to participate in the Kentucky Medicaid program. It details the necessary steps, required documentation, and compliance regulations that must be followed to ensure eligibility for reimbursement. Key points include the importance of completing all application sections accurately, submitting required licenses and certifications, and understanding the implications of participation with Managed Care Organizations (MCOs). Additionally, it emphasizes the legal responsibilities and potential penalties for false statements or non-compliance with Medicaid rules.

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Versions	Form popularity	Fillable & printable
2017	4.8 Satisfied (166 Votes)
2015	4.4 Satisfied (170 Votes)
2015	4.4 Satisfied (244 Votes)
2010	4 Satisfied (57 Votes)

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