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Search results for: medicaid in all categories
761 results found.
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- Documents (PDF, Word, etc.) (629)
77 pages of results.
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comp-cert-form-medicaid.pdf [Documents (PDF, Word, etc.)]
... Comprehensive Certification Form for Children Who Are Enrolled in Medicaid Provider Enrollment and Provider Profile forms for this practice must be on file with the State Health Department or ...
Fall-Related Injury Deaths, Hospitalizations [Documents (PDF, Word, etc.)]
... most of these hospitalizations (47%) was self pay/under insured or Medicaid. Non-Fatal Firearm Hospitalization Admissions Charges and Payer Source, Florida Residents, 2006 ...
client-and-family-information-referral-form-1.pdf [Documents (PDF, Word, etc.)]
... Name I Date of Birth (mm/ddlyy) I Social Security Number I Medicaid Number Parent/Guardian Name Telephone Number I Mailing Address I Referred T0 Address ...
client-and-family-information-referral-form-1.pdf [Documents (PDF, Word, etc.)]
... Name I Date of Birth (mm/ddlyy) I Social Security Number I Medicaid Number Parent/Guardian Name Telephone Number I Mailing Address I Referred T0 Address ...
DH2105_Insulin_Distribution_Application_11-14_HC [Documents (PDF, Word, etc.)]
... Preskripsyon an tache.) ____ Wi ____ Non Mwen pa gen ni Medicaid ni asirans sante ki garanti ensilin, oswa mwen ____ Wi ____ ...
2105 -3-07 Insulin Distribution Program Application [Documents (PDF, Word, etc.)]
... insulina. (Receta adjunta.) ____ Sí ____ No No tengo Medicaid o seguro médico que cubra insulina, o tengo ____ Sí ____ ...
2105 -3-07 Insulin Distribution Program Application [Documents (PDF, Word, etc.)]
... (Prescription attached.) ____ Yes ____ No I do not have Medicaid or health insurance that covers insulin, or I have ____ Yes ___ ...
phase-viii.pdf [Documents (PDF, Word, etc.)]
... talked with you about it or Yes if Insurance Marketplace or HealthCare.gov someone did. Medicaid TRICARE or other military health care No Yes Other health insurance Please tell us ...
121818-cms-wellcare.pdf [Documents (PDF, Word, etc.)]
Press Release
... Health Plan covers more than 60,000 medically complex children who are covered by Medicaid or the Children's Health Insurance Program. It is also Florida's only specialty health ...
chapter-13-perinatal-depression-screening-3-2019.pdf [Documents (PDF, Word, etc.)]
... Referral for counseling/mental health assessment. If the participant receives insurance coverage under Medicaid and is eligible for mental health counseling under their Medicaid plan, refer to ...
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