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Attached Document:
92_inf-42.pdf
OMM/OCFS/OTDA Materials: INFs Issued by OTDA
92 INF-42: Revision of Continuous Pinfeed Version of "Notice of Intent to Change Benefits: PA, FS, MA Coverage and Services (Timely and Adequate)" (DSS-4015-C)
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This is to introduce revisions to the DSS-4015-C, the continuous pinfeed
version of the DSS-4015: "Notice of Intent to Change Benefits: PA, FS, MA Coverage and Services (Timely and Adequate)" (copy attached). It will have a Revision Date of "3/92". The DSS-4015-C is different from the DSS-4015 only in the pinfeed format.
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Created: 10/28/2004
Updated: 10/29/2004
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