| CODE |
B5 |
| STATUS EFFECTIVE DATE |
-
- 2003-06-01 00:00:00
- STATUS: ACTIVE
- FEE USE: APPLICABLE
-
- 2016-05-01 00:00:00
- STATUS: INACTIVE
- FEE USE: APPLICABLE
|
| DESCRIPTION EFFECTIVE DATE |
-
- DESCRIPTION:
Coverage/program guidelines were not met or were exceeded.
-
- DESCRIPTION:
Coverage/program guidelines were not met or were exceeded.
|
| SUSPENSION DESCRIPTION |
Coverage/program guidelines were not met or were exceeded.
|
