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Complaints, other than Civil Rights complaints, such as processing delays or general service, must be investigated and resolved by the: 1. Eligibility Supervisor, 2. Field Operation Manager, or 3. Regional Field Manager.

RACIAL/ETHNIC DATA COLLECTION

DPHHS obtains data on MEDICAID recipients by racial/ethnic category. Applicants are requested to voluntarily provide their race or ethnicity on application forms. The application form must clearly indicate that the information is voluntary, that it will not affect the eligibility or the level of benefits, and that the reason for the information is to assure that program benefits are distributed without regard to race, color, or national origin.

Effective Date: November 15, 2024