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Attached Document:
05ma015.pdf
OMM/OCFS/OTDA Materials: GIS Messages from OMM
GIS 05 MA/015: Revised Third Party Data Entry Forms
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The purpose of this GIS message is to introduce you to two revised LDSS data entry forms; LDSS 4198-“Third Party Data Sheet” and LDSS 4384-“Third Party Health Insurance Data, Medicare Coverage Update” (copies attached).
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Created: 4/25/2005
Updated: 6/8/2005
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