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Medical Assistance - Department of Human Services

    https://www.dhs.pa.gov/Services/Assistance/Pages/Medical-Assistance.aspx
    Online: Using the COMPASS website, you can apply for MA and many other services that can help you make ends meet. Telephone: Call the Consumer Service Center for Health …

Downloadable Medical Assistance Provider Forms

    https://www.dhs.pa.gov/docs/Publications/Pages/Medical-Assistance-Provider-Forms.aspx
    Forms Available to Order The Office of Medical Assistance Programs (OMAP) produces and distributes over 70 forms and envelopes for provider use at no charge to the …

Medical Assistance (MA) / Minnesota Department of …

    https://mn.gov/dhs/people-we-serve/adults/health-care/health-care-programs/programs-and-services/medical-assistance.jsp
    Medical Assistance (MA) is Minnesota’s Medicaid program for people with low income. Most people who have MA get health care through health plans. You can choose a health plan …

Medical Assistance - Maryland Department of Human …

    https://dhs.maryland.gov/weathering-tough-times/medical-assistance/
    Medicaid, also called Medical Assistance (MA) pays the medical bills of needy and low-income individuals. It is administered by the State and pays medical bills with Federal and …

Medicaid Forms/Applications - Virginia Department of …

    http://dss.virginia.gov/benefit/medical_assistance/forms.cgi
    Medicaid Forms/Applications People Who May Be Eligible For Medical Assistance Adults Aged 19 - 64 Children Under Age 19 Parents & Caretakers of Dependent Children …

Medical Assistance (MA) - Minnesota Department of …

    https://mn.gov/dhs/ma/
    Medical Assistance (MA) is Minnesota’s Medicaid program for people with low income. Most people who have MA get health care through health plans. You can choose a health plan …

COMPASS HHS Printable Forms

    https://www.compass.state.pa.us/compass.web/MenuItems/PrintableForms.aspx?Language=EN
    Use the following links to view and/or print application forms: Application for Health Care Coverage - PA 600HC. Application for Benefits (SNAP, Health Care, Cash Assistance) - …

Forms - New York State Department of Health

    https://www.health.ny.gov/forms/
    Emergency Medical Services (EMS) Forms Commonly Used by EMS Providers and Agencies; Employment. Employment Application; Genealogy. Genealogy Copies; …

Forms - Department of Human Services

    https://www.dhs.pa.gov/docs/Pages/Forms.aspx
    Assistance; Children; Disabilities & Aging; Mental Health in PA; Mass Care and Emergency Assist; Other Services; Find a Document. Find a Document; For Providers; Publications; …

Medical Assistance Provider Order Form (Forms …

    https://www.dhs.pa.gov/providers/FAQs/Documents/MA%20300X%20-%20Medical%20Assistance%20Provider%20Order%20Form.pdf
    This form is not available for ordering. If you are unable to access the downloadable version of the form online, you may request a copy by calling the correct number for your …



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