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Search results for: medicaid in all categories
766 results found.
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77 pages of results.
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Disenrollment Form 2016 pdf [Documents (PDF, Word, etc.)]
... Effective Date: Reason for Disenrollment: Merged with another facility No longer enrolled in Medicaid Closing office Provider left the practice VFC too costly/time-consuming Serve too few ...
ClientEligibilityUpdateFormHC.pdf [Documents (PDF, Word, etc.)]
... nan moman: sètifikasyon ou an sa gen yon (1 ) lane, Medicaid èske estati asirans ou te chanje? Pwogram Asirans Sante Timoun (Children's ...
FL PRAMS Resource Card [Documents (PDF, Word, etc.)]
... healthystartflorida.com saludable Seguridad del floridahealth.gov/programs-and- sueño infantil services/childrens-health/ infant-safe-sleep-environment Medicaid y 866.762.2237 myflorida.com/accessflorida Snap Asistencia Florida Quitline 877.822.6669 tobaccofreeflorida.com Ayuda al consumo ...
FL PRAMS Resource Card [Documents (PDF, Word, etc.)]
... Healthy Start healthystartflorida.com Infant Sleep Safety floridahealth.gov/programs-and- services/childrens-health/ infant-safe-sleep-environment Medicaid & 866.762.2237 myflorida.com/accessflorida Snap Assistance Florida Quitline 877.822.6669 tobaccofreeflorida.com (Tobacco use ...
SKM_C360i23071210033 [Documents (PDF, Word, etc.)]
... balances outstanding for more than 120 days from the service date after exhausting all other Medicaid/Medicaid Managed Medical Assistance (MMA), Medicare, third-party insurance, ...
climate-sensitive-hazards-in-florida-final-report-3.pdf [Documents (PDF, Word, etc.)]
Identifying and Prioritizing Threats to Build Resilience against Climate Effects
... the public County level percentage of uninsured populations healthcare system for County level percentage of Medicaid recipients medication, medical County level percentage of developmentally disabled populations treatment, equipment ...
DH8006-PHSPM-07-2022-Application.pdf [Documents (PDF, Word, etc.)]
... by patient group for the employer for the previous calendar year. Sliding Fee/ Medicaid Medicare Only Private Total Charity Care (including dual eligible) Insurance/Other ...
vaccine-usage-worksheet.pdf [Documents (PDF, Word, etc.)]
... _ * Check the appropriate boxes for eligibility and vaccines. VFC Eligibility* American Medicaid No Under- Indian/ VFC Program Vaccines* Insurance insured Alaskan Native Dtap ...
DH8009-PHSPM-07-2022-EmployerPracticeLocationAttestation.pdf [Documents (PDF, Word, etc.)]
... ) Our facility/site accepts the following: (Check all that apply) Medicaid Children's Health Insurance Program/Florida KidCare Medicare Sliding fee scale or charity care ...
ClientEligibilityUpdateFormEng.pdf [Documents (PDF, Word, etc.)]
... initial certification or Select current insurance status: annual recertification one year ago, Medicaid has your insurance status changed? Child Health Insurance Program (CHIP) ...
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