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210-RICR-50-00-4 TITLE 210 - EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES CHAPTER 50 - MEDICAID LONG-TERM SERVICES AND SUPPORTS SUBCHAPTER 00 - LONG-TERM SERVICES PART 4 - MEDICAID LONG-TERM SERVICES AND SUPPORTS APPLICATION AND RENEWAL PROCESS (210-RICR-50-00-4) Type of Filing: Amendment Agency Signature _________________________________________________________________ Agency Head Signature Agency Signing Date Department of State ____________________________ Regulation Effective Date _________________________________________________________________ Department of State Initials Department of State Date 08/28/2025 August 08, 2025 E-SIGNED by Richard Charest on 2025-08-08 14:48:24 EDT August 08, 2025 E-SIGNED by Department of State on 2025-08-08 14:56:18 EDT