DADS Forms and Instructions
Form 3600
Form Record:
| Number: | 3600 |
|---|---|
| Title: | Application for Participation in Title XIX Medicaid: ICF-IID, Nursing Facility or Rural Hospital Swingbed Program |
| Effective Date: | 01/2013 |
| Instructions | 01/2013 |
Availability
| Word: | 3600.doc |
|---|---|
| Pdf: | 3600.pdf |