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Attached Document:
91_inf-10.pdf
OMM/OCFS/OTDA Materials: INFs Issued by OTDA
91 INF-10: Introduction 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 the continuous pinfeed version of the DSS-4015:
"Notice of Intent to Change Benefits: PA, FS, MA Coverage and Services
(Timely and Adequate)". This new form will be designated "DSS-4015-C" and will have a Revision Date of "2/91".
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Created: 10/29/2004
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