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Attached Document:
pb04-122-eli.pdf
Documents: 2004 Policy Bulletins
#04-122-ELI: Obsoletion Of Policy Directive #01-70-ELI And New Way To Recertify Your Continued Eligibility For Medicaid (W-126F)
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The purpose of this policy bulletin is to inform staff that the New Way to Recertify Your Continued Eligibility For Medicaid form (W-126F) (Rev. 11/5/01) is now obsolete.
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Created: 11/25/2007
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