Revision : 1
Record Description : Forms (JFS 06660,06662,06663,6679,6680,6681,6682,and 6683) and supporting documentation used to make changes and/or addition to the reference file sub-system of the Medicaid Management Information System(MMIS) for procedure, drug, diagnosis, and provider charge file fees under the Medicaid Program. File contain the required approval signatures for the change request, date of approval, and date the documentation was received and entered into the on-line system. The files are reference repeatedly as Medicaid invoices are processed to determine the quantity and or amount of payment to providers. System reports include procedure, drug, diagnosis codes, and provider charge file codes.