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Get and Sign Michigan Action Notice 2019-2022 Form

Get and Sign Michigan Action Notice 2019-2022 Form

Use a advance action notice 2019 template to make your document workflow more streamlined.

Until the effective date. If you appeal this action prior to the effective date, your previously authorized services will continue until the appeal is resolved. The legal basis for this decision is 42 CFR 440.230(d). Enclosed you will find a copy of your LOCD. If you do not agree with this action, you may do either or both of the following: HOW TO REQUEST A SECONDARY REVIEW REQUEST: You have a right to request a Secondary Review from the Michigan Peer Review Organization (MPRO). This review...
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