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DEPARTMENT OF HEALTH & HUMAN SERVICES - Medicaid.gov
WebJan 1, 2024 · Only – Pregnancy Related program and Family Planning Only program January 1, 2024 . CPT® codes and descriptions only are copyright 2024 American Medical Association. 2 FAMILY PLANNING BILLING GUIDE ... Family Planning Only application form, HCA 13-781 (8/20) (for clients) Web2024 Claim Form 1. Choose one: Family Planning Program: XIX DSHS Family Planning Program (DFPP) 1a. DFPP only: Partial Pay No Pay 2a. Billing Provider TPI 2b. Billing provider NPI 3. Provider Name 4. Eligibility Date (MM/DD/CCYY) 5. DSHS Client No. (Medicaid PCN if XIX) 6. Patient’s Name (Last Name, First Name, Middle Initial) 7. bosch s4 battery 075 60ah 540
Family planning: Get the facts about pregnancy spacing - Mayo Clinic
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