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O-930 Change Notification to Medically Needy Recipient by County Office O-940 Medically Needy Case Closures O-950 Medically Needy Case Record

Appendices IRS Safeguards Appendix MS Appendix A Burial Fund Guide MS Appendix B Transportation Procedures MS Appendix C Verification of Citizenship, Alien Status and SSN Enumeration MS Appendix D Benefits Available under Medicaid and ARKids First MS Appendix E MAGI Examples MS Appendix F Federal Poverty Levels MS Appendix G ARKids Extent of Services MS Appendix H Transfer of Resources – History MS Appendix I Application Form Chart MS Appendix J Eligibility Chart MS Appendix K PACE Service Counties MS Appendix L Life Expectancy Table MS Appendix N Family Medically Needy Resource and Income Levels MS Appendix O Renewal Forms Chart MS Appendix P TEFRA MS Appendix Q Schedule C MS Appendix R Transfer of Assets Divisor, Home Equity Limit, and Gift Tax Exclusion for ABLE Accounts MS Appendix S SSI and Quarters of Coverage Chart MS Appendix T Standard of Need MS Appendix U Life Estate and Remainder Interest Tables MS Appendix V Voter Registration MS Appendix W ARChoices in Homecare and Living Choices Assisted Living Facility (ALF) Waiver Application Tracking and Release Procedures MS Appendix Referrals for Independent Choices MS Appendix Y Work Activity Hours Chart MS Appendix Z Medicaid Program Resource Limits, Medicare Premiums, and Medicare Benchmark Glossary