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| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2011 | 4 Satisfied (45 Votes) |
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Jan 20, 2026 Health Care Facility License Fees ; Hospices (2-Year License Total), Facility, 2,807, $2,780, $1,772 ; Hospice Facilities, Bed, 132, $573, $0
by C Medicaid Cited by 1 This benefit includes (during a visit) intermediate oral evaluation, fluoride varnish application, Dental anticipatory guidance, and referral to a dental home.Read more
Jan 9, 2020 application fee, which is $491 and includes the $49 non-refundable fingerprint processing fee. ▻. Page 8. Confidential For Discussion PurposesRead more