alabama medicaid referral requirements
Application for Health Coverage Help Paying Costs
You could be eligible for lower-cost or free coverage. If youre single, you may be able to use a short form. Visit HealthCare.gov. Families
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Department of Health and Human Services
Aug 8, 2006 Medicaid Services (CMS), HHS. Existing Federal physician self-referral law permits States to regulate physician self-referrals concurrently.
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PATIENT FAX REFERRAL FORM
FAX REFERRAL FORM FOR QUITLINE REFERRAL, PLEASE FAX COMPLETED FORM TO: 1-800-692-9023. For additional forms, visit .
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