![](https://www.pdfsearch.io/img/6dc913f29aa7d153ed753038655350eb.jpg) Date: 2018-06-13 16:05:47
| | MS DOM Rebuttal Period Request Form MS DOM Recovery Audit Contractor (RAC) Request to Open Rebuttal Period For instructions about completing and submitting this form, please refer to the next pageAdd to Reading ListSource URL: medicaid.ms.govDownload Document from Source Website File Size: 254,00 KBShare Document on Facebook
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