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PB Home  Back to OMM/OCFS/OTDA Materials: GIS Issued by OMM    
Attached Document:
10ma022.pdf


OMM/OCFS/OTDA Materials: GIS Issued by OMM

10 MA/022: LDSS-2831A "Temporary Medicaid Authorization"
This General Information System (GIS) message is being issued as a reminder that the LDSS-2831A "Temporary Medicaid Authorization" is only to be given to individuals who are determined Medicaid eligible and need to receive Medicaid covered care, services and/or supplies prior to receipt of a permanent Common Benefit Identification Card (CBIC). This includes individuals who are also applying for Temporary Assistance (TA). The LDSS-2831A is issued to a Medicaid eligible recipient pending his/her receipt of a CBIC. The LDSS-2831A is intended for use between the time of the determination and the actual delivery of the permanent card, and is valid only for a specific number of days, up to 15 days maximum.
 

 

Created: 11/22/2010