Transcription of Dental Services - in
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Dental Services - in
INDIANA HEALTH COVERAGE PROGRAMS. PROVIDER REFERENCE MODULE. Dental Services LIBRARY REFERENCE NUMBER: PROMOD00022. PUBLISHED: AUGUST 1, 2017. POLICIES AND PROCEDURES AS OF APRIL 1, 2017. VERSION: Copyright 2017 DXC Technology Company. All Rights Reserved. Revision History Version Date Reason for Revisions Completed By Policies and procedures as of New document FSSA and HPE. October 1, 2015. Published: February 25, 2016. Policies and procedures as of Scheduled update FSSA and HPE. April 1, 2016. Published: July 28, 2016. Policies and procedures as of Corrected the age requirements in FSSA and HPE. April 1, 2016 the Prophylaxis section Published: August 9, 2016.
Dental Services Revision History iv Library Reference Number: PROMOD00022 Published: July 31, 2108 Policies and procedures as of April 1, 2018
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