Joint Communication Bulletins 2016 JUNE Documents Appendices A D Federal Required Assurances final 053116 Attachment A Contracted Services final 053116 Attachment B Provider Disclosure Form final 053116 Appendix E Outcomes and Reporting Requirements for Agencies… Appendix F Mixed Services Payment Protocol final 053116 Appendix G Provider Specialty Practice Information final … LIP Provider Contract final 053116 Provider Agency Contract final 053116 INSTRUCTIONS FOR COMPLETING PROVIDER DISCLOSURE STATEMENT … Medicaid Capitation ICD 10 codes for Managed Care 060216 1
