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    • A Guide for Representative Payees

      www.ssa.gov/pubs/EN-05-10076.pdf

      A Guide for Representative Payees SocialSecurity.gov. ... help a beneficiary get medical services or treatment. ... A special note about blind or disabled children


    A Guide for Representative Payees SocialSecurity.gov. ... help a beneficiary get medical services or treatment. ... A special note about blind or disabled children



    Providing your SSN will help ensure that your records are properly associated with your claim file. Giving us your SSN account information is voluntary.


    • PDF
    • Massachusetts Application for Health and Dental …

      www.mass.gov/eohhs/docs/masshealth/membappforms/aca-3-english.pdf

      neither parent is living in the home; or • disabled and are either ... Phone: please call us for help with this application or if you need interpreter services.


    neither parent is living in the home; or • disabled and are either ... Phone: please call us for help with this application or if you need interpreter services.



    Temporary Guardianship Agreement I, _____, of _____ (print your full name ...


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    • SPEND DOWN PROCEDURES - New York State …

      www.oms.nysed.gov/medicaid/resources/medicaid_spend_down.pdf

      SPEND DOWN PROCEDURES ... ° Disabled or blind ... example, the Elderly Pharmaceutical Insurance Program (EPIC) and the Child Health


    SPEND DOWN PROCEDURES ... ° Disabled or blind ... example, the Elderly Pharmaceutical Insurance Program (EPIC) and the Child Health


    • PDF
    • ACCESS-A-RIDE SERVICE APPLICATION

      web.mta.info/nyct/paratran/access_application.pdf

      Evaluating your ability to do these things will help us determine if you are ... ACCESS-A-RIDE SERVICE APPLICATION MN ... How far from your home is the nearest ...


    Evaluating your ability to do these things will help us determine if you are ... ACCESS-A-RIDE SERVICE APPLICATION MN ... How far from your home is the nearest ...



    indicate your intent to file for more than one general benefit on this form or you may submit a separate intent to file for each general benefit. Please


    • PDF
    • Home Care Aide Certification Application Packet

      www.doh.wa.gov/Portals/1/Documents/Pubs/675002.pdf

      • A direct care worker providing home or community-based services to the elderly ... submitted with your application for home care aide certification, you must add ...


    • A direct care worker providing home or community-based services to the elderly ... submitted with your application for home care aide certification, you must add ...


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