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Search results for: medicaid in all categories

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patient-eligibility-screening-family-planning.pdf [Documents (PDF, Word, etc.)]
... /she (check only one box):  a) Is enrolled in Medicaid  b) Does not have health insurance  c) Is an American ...
Terms matched: 1  -  86k  -  URL: https://www.floridahealth.gov/programs-and-services/immunization/vaccines-for-children/_documents/patient-eligibility-screening-family-planning.pdf
patient-eligibility-screening-family-planning.pdf [Documents (PDF, Word, etc.)]
... /she (check only one box):  a) Is enrolled in Medicaid  b) Does not have health insurance  c) Is an American ...
Terms matched: 1  -  86k  -  URL: https://www.floridahealth.gov/%5C/programs-and-services/immunization/vaccines-for-children/_documents/patient-eligibility-screening-family-planning.pdf
vfc-florida-provider-agreement.pdf [Documents (PDF, Word, etc.)]
... . Last Name, First, MI: Title: Specialty: License No: Medicaid or NPI No: Employer Identification Number: Email: VFC VACCINE COORDINATOR Primary ...
Terms matched: 1  -  356k  -  URL: https://www.floridahealth.gov/%5C/programs-and-services/immunization/vaccines-for-children/_documents/vfc-florida-provider-agreement.pdf
vfc-florida-provider-agreement.pdf [Documents (PDF, Word, etc.)]
... . Last Name, First, MI: Title: Specialty: License No: Medicaid or NPI No: Employer Identification Number: Email: VFC VACCINE COORDINATOR Primary ...
Terms matched: 1  -  356k  -  URL: https://www.floridahealth.gov/programs-and-services/immunization/vaccines-for-children/_documents/vfc-florida-provider-agreement.pdf
Disenrollment Form 2016 pdf [Documents (PDF, Word, etc.)]
... Effective Date: Reason for Disenrollment: Merged with another facility No longer enrolled in Medicaid Closing office Provider left the practice VFC too costly/time-consuming Serve too few ...
Terms matched: 1  -  9k  -  URL: https://www.floridahealth.gov/%5C/programs-and-services/immunization/vaccines-for-children/_documents/disenrollment-form.pdf
Disenrollment Form 2016 pdf [Documents (PDF, Word, etc.)]
... Effective Date: Reason for Disenrollment: Merged with another facility No longer enrolled in Medicaid Closing office Provider left the practice VFC too costly/time-consuming Serve too few ...
Terms matched: 1  -  9k  -  URL: https://www.floridahealth.gov/programs-and-services/immunization/vaccines-for-children/_documents/disenrollment-form.pdf
vaccine-usage-worksheet.pdf [Documents (PDF, Word, etc.)]
... _ * Check the appropriate boxes for eligibility and vaccines. VFC Eligibility* American Medicaid No Under- Indian/ VFC Program Vaccines* Insurance insured Alaskan Native Dtap ...
Terms matched: 1  -  119k  -  URL: https://www.floridahealth.gov/programs-and-services/immunization/vaccines-for-children/_documents/vaccine-usage-worksheet.pdf
vaccine-usage-worksheet.pdf [Documents (PDF, Word, etc.)]
... _ * Check the appropriate boxes for eligibility and vaccines. VFC Eligibility* American Medicaid No Under- Indian/ VFC Program Vaccines* Insurance insured Alaskan Native Dtap ...
Terms matched: 1  -  119k  -  URL: https://www.floridahealth.gov/%5C/programs-and-services/immunization/vaccines-for-children/_documents/vaccine-usage-worksheet.pdf
untitled [Documents (PDF, Word, etc.)]
... Please refer to Attachment 6 for breakdown of other series. In cooperation with the Medicaid Office of the Agency for Health Care Administration, 986 children (59.8% ...
Terms matched: 1  -  87k  -  URL: https://www.floridahealth.gov/%5C/programs-and-services/immunization/resources/surveys/_documents/2yo2006.pdf
untitled [Documents (PDF, Word, etc.)]
... Please refer to Attachment 6 for breakdown of other series. In cooperation with the Medicaid Office of the Agency for Health Care Administration, 986 children (59.8% ...
Terms matched: 1  -  87k  -  URL: https://www.floridahealth.gov/programs-and-services/immunization/resources/surveys/_documents/2yo2006.pdf
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