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Search results for: medicaid in all categories
761 results found.
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77 pages of results.
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Contact_WIC_Today_150-319_6-23_Span_revised_forPrinter.pdf [Documents (PDF, Word, etc.)]
... discapacidad, edad, o represalia o retorsión por actividades previas contacto con Si recibe Medicaid, ayuda económica temporal de derechos civiles. (TCA) o ayuda para ...
apf-os-regis.pdf [Documents (PDF, Word, etc.)]
... U.S.C. ss. 1395-1396 (relating to public health, welfare, Medicare and Medicaid issues)? 2a. If "yes" to 2, has it ...
Attachment E - Eligibility Staff Assessment Worksheet [Documents (PDF, Word, etc.)]
... if the applicant is receiving or has been screened for any of the following: Medicaid Project AIDS Care (PAC) Medically Needy (list share of cost) ...
quick-ref-guide.pdf [Documents (PDF, Word, etc.)]
... PrEP - The USPSTF has released guidelines for PrEP nPEP is covered by insurance and Medicaid in many with a Grade A recommendation. As a result, qualifying states ...
patient-eligibility-screening-record-vfc.pdf [Documents (PDF, Word, etc.)]
... /she (check only one box): a) Is enrolled in Medicaid b) Does not have health insurance c) Is an American ...
patient-eligibility-screening-family-planning.pdf [Documents (PDF, Word, etc.)]
... /she (check only one box): a) Is enrolled in Medicaid b) Does not have health insurance c) Is an American ...
FLORIDA'S HEALTHY START INFANT [Documents (PDF, Word, etc.)]
... : BY PROVIDER Item 15 __ Mother unmarried Item 26 __ Principal source of payment Medicaid Item 30 __ Maternal race black Item 19 __ Father's name not present or ...
FLORIDA'S HEALTHY START INFANT [Documents (PDF, Word, etc.)]
... : BY PROVIDER Item 15 __ Mother unmarried Item 26 __ Principal source of payment Medicaid Item 30 __ Maternal race black Item 19 __ Father's name not present or ...
attachment-d-c.pdf [Documents (PDF, Word, etc.)]
... ? Yes No Part If Yes, provide name of insurance company: _____ Medicaid If No, does your employer offer health insurance as a benefit? Yes ...
Layout 1 [Documents (PDF, Word, etc.)]
... of a Self-Reported Mandatory Not verified by DOH Address(es) secondary practice. Medicaid Indicates whether or Self-Reported Optional Not verified by DOH not the practitioner participates in ...
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