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Transportation Services - in

INDIANA HEALTH COVERAGE PROGRAMS PROVIDER REFERENCE MODULE Transportation Services LIBRARY REFERENCE NUMBER: PROMOD00050 PUBLISHED: FEBRUARY 15, 2018 POLICIES AND PROCEDURES AS OF OCTOBER 1, 2017 VERSION: Copyright 2018 DXC Technology Company. All rights reserved. Library Reference Number: PROMOD00050 iii Published: February 15, 2018 Policies and procedures as of October 1, 2017 Version: Revision History Version Date Reason for Revisions Completed By Policies and procedures as of October 1, 2015 Published: February 25, 2016 New document FSSA and HPE Policies and procedures as of April 1, 2016 Published: September 13, 2016 Scheduled update FSSA and HPE Policies and procedures as of April 1, 2016 (CoreMMIS updates as of February 13, 2017) Published.

Transportation Services Revision History . iv Library Reference Number: PROMOD00050 Published: February 15, 2018 Policies and …

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