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Document used for application, enrollment, registration or eligibility determination purposes.
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| Effective Date | Title - Owner - Description |
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01/01/2009 |
MCAC Application -
Office of Medicaid Business & Policy,
Medical Care Advisory Committee -
Application for membership in the Medical Care Advisory Committee. |
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07/01/2008 |
Limited Use Hospital Discharge Data Set Application and Data Use Agreement -
Office of Medicaid Business and Policy -
Request Form provides the means for applying for access to limited use hospital discharge data sets from the department. |
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07/01/2008 |
Request Form for Public Use Hospital Discharge Data Sets -
Office of Medicaid Business and Policy -
Request Form provides the means for requesting public use hospital discharge data sets from the department. |
