№ lp_1_2_50397
Year: 2017
Region / City: Wisconsin
Theme: Medicaid, IRIS Program
Document Type: Form, Instructions
Organization: Department of Health Services, Division of Medicaid Services
Author: Unknown
Target Audience: IRIS participants and IRIS consultant agencies
Period of Validity: Annual
Approval Date: Unknown
Date of Amendments: Unknown
Context: A form used by IRIS participants and consultants to request the continuation of an approved budget amendment in the IRIS program.
Price: 8 / 10 USD
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