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This document is only a guide and is intended to provide examples of easily understood
language. Contractors are required to use language specific to the members' situation and
service request. See the AHCCCS Contract and Polices for all requirements regarding Notice of
Action letter requirements. This document is not to be relied upon for Legal citations. Legal
citations change regularly. The Contractor is responsible for citing the correct legal source
when changes to the legal basis occur.
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