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Agency for Health Care Administration

provider enrollment Policy Agency for Health Care Administration _____. Draft Rule Table of Contents Introduction .. 3. Florida Medicaid Policies .. 3. Definitions .. 3. General enrollment Policy .. 4. enrollment Application Process .. 5. provider Eligibility .. 5. 5. Application Types .. 5. enrollment Types .. 5. provider and Specialty 6. enrollment for Medicare Crossover-Only Payment .. 6. Billing Agents .. 6. Out-of-State provider enrollment Requirements .. 6. Florida Medicaid provider Agreement .. 7. enrollment Exclusions .. 7. Application Deficiencies .. 8. Effective Date of enrollment .. 8. Reenrollment Process After Termination .. 8. enrollment Application Specific Requirements .. 8. Florida Medicaid provider Identification (ID) Number(s).

Florida Medicaid Enrollment Policy Draft Rule 4 1.2.10 Fully Enrolled Provider Providers that meet the full credentialing requirements for participation in Florida

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