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CSHCS ALERT #7-2018 - Payment Agreement Amendment Form

Thursday, June 21st, 2018, 4:08 PM

Hello LHD Partners:

Effective immediately, please use the attached Payment Agreement Amendment form. This is the original form that was used that consisted of 2 calculation lines. You can also access the form from the CSHCS database.

As a reminder: Please only use the current forms for the IRPA, IRPA Amendment and Application. Any obsolete forms will be returned.

If you have any questions, please contact Monica at sparksm@michigan.gov 

Thanks,

Monica Sparks
CSHCS – CSS Acting Section Manager