LEGACY HCFA-1500 (605)    IB FORM SKELETON DEFINITION (364.6)

Name Value
BILL FORM LEGACY HCFA-1500
SECURITY LEVEL NATIONAL,NO EDIT
PAGE OR SEQUENCE 1
FIRST LINE NUMBER 44
LOCAL OVERRIDE ALLOWED YES
STARTING COLUMN OR PIECE 62
LENGTH 3
SHORT DESCRIPTION EPSDT FAMILY PLAN (BX-24H)