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CN-SIS-05-2023: New Program Code Medicaid Assistance Expansion (MAE) has been added and is valid with service codes 872,875,890,891,and 892. New Program Code Family and Children’s Medicaid -MA Expansion (MIX) has been added and is valid with service codes 872,890,891, and 892. Appendix B has been edited to reflect the changes above.

Document Tag: Change Notice