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Reference Documents and Guides
Please click below for Reference Documents and Guides
Adult Medical
Aged, Blind and Disabled Medical Assistance Desk Reference Guide
Aged, Blind and Disabled Medical Assistance Frequently Asked Questions
Expansion Program Reference Guide
General Aged, Blind and Disabled Medical Assistance Desk Reference Guide
HCPF 2012 Adults without Dependent Children (AwDC) Manual
HCPF 2012 Medicaid Buy-In Program for Working Adults with Disabilities (WAwD) Manual
Pickle Client Letter
Pickle SSA Letter
Family Medicaid and CHP+
Expansion Program Reference Guide
Family Medicaid and CHP+ CBMS Data Entry Manual
Family Medical Assistance Frequently Asked Questions
HCPF 2012 Medicaid Buy-In Program for Children with Disabilities (CBwD) Manual
Needy Newborn Data Entry Manual
PE Desk Reference Guide
General
Affidavit to Establish Identity - English
Affidavit to Establish Identity - Spanish
Redetermination Notice Fillable Form
SVES SSN Verification Code Guide
SVES Title II Code Guide
SVES Title XVI Code Guide
Long-Term Care
General Aged, Blind Disabled Medical Assistance Desk Reference Guide
Long-Term Care Medical Assistance User Desk Reference Guide
Request for LTC Medical Services
5615 Form
Annuity Notice of Remainder Beneficiary
Annuity Additional Information Form
Spousal Calculation Worksheet - HCBS
Spousal Calculation Worksheet - NF
Income Trust
