Revision 22-4; Effective Dec. 12, 2022
The following change(s) were made:
Revised |
Title |
Change |
4000 |
Eligibility and Fees |
Adds section description. |
4100 |
Eligibility and Assessment of Co-pay/Fees |
Adds hyperlink to Form 3047, Office of Primary and Specialty Health Notice of Ineligibility. |