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38 Independent Foster Care Children (age 18-26) 11 48 Refugee Pov Child (NOT CURRENTLY USED)

40 MHK – Poverty 7 51 MHK – Foster Care, Homeless, Independent, Neglected (HDN), Pov (Inactive)

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41 MHK in Vendor Institution – Poverty 7 52 DYS – General Revenue 3 State Only 43 MPW – 60-Day Assistance – MHF Criteria 5 53 DYS GR (not currently used)

44 MPW – 60-Day Assistance – Poverty 5 54 DYS GR (not currently used)

45 MPW – Poverty 5 57 Child Welfare Services (CWS) – Adoption Subsidy 3 State Only 49 DMH Foster Care – Poverty 10 58 TEMP 1 5 Title XIX 50 DYS Foster Care – Poverty 1 59 TEMP 1 6 State Only 55 QMB 17 60 Newborn 7 Title XIX 56 Adoption Subsidy 1 63 Foster Care – HIF (INACTIVE – replaced by codes 64-69)

61 MPW – HIF 5 64 Group Home – HIF – Juvenile Court placement 4 State Only 62 MHK – HIF – under age 1 8 65 Group Home – HIF – Parent/Guardian placement 9 State Only 66 Foster Care – Homeless, Dependent, Neglected (HDN), Title XIX/FFP – HIF 2 71 CHIP 0 – 148%-150% Age 1-5 1 2 Title XXI 67 DMH Foster Care – HIF 11 72 CHIP 0 – 148%-150% Age 6-18 1 2 Title XXI 68 DYS Foster Care – HIF 2 73 CHIP 73 – 151%-185% Age 1-18 (Premium) 1 2 Title XXI 69 Juvenile Courts – Foster Care – HIF 2 74 CHIP 74 – 186%-225% Age 0-18 (Premium) 1 2 Title XXI 70 Juvenile Courts – Foster Care – Poverty 12 75 CHIP 75 – 226%-300% Age 0-18 (Premium)

Title XXI 81 Temporary Assignment Category 19 76 XXI Adults 0-300% Poverty, Ext. TMH (INACTIVE)