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ABD 012 Qualified Disabled Working Individuals (QDWI) 04/01/2024 ABD 013 Nursing Home Residents 01/01/2024 ABD 014 Poverty Guild lines

04/01/2024 ABD 016 Life Expectancy Table 4/01/2022 ABD 017 Life Estate Interest Table 07/01/2017 ACA FMA 018 Table of Standards- Plan First 04/01/2025 100 Application Processing CMA 101-1 Confidentiality 07/01/2016 CMA 102-1 Civil Rights

11/15/2024 CMA 102-2 General Complaints

07/01/2016 CMA 103-1 Application Processing 02/01/2025 CMA 103-2 Interview 07/01/2016 CMA 103-3 Client Rights and Responsibilities 07/01/2016 CMA 103-4 Verification and Documentation 08/01/2026 CMA 103-6 Voter Registration 07/01/2016 CMA 104-1 Retroactive Medicaid Coverage 05/01/2017 ABD 105-1 Disability Determination 07/01/2017 FMA 105-1 Presumptive Medicaid 01/01/2026 200 Groups Covered ABD 200 General Overview 07/01/2016 FMA 200 Covered Groups Overview

07/16/2016 FMA 200-1

ACA Filing Unit 07/01/2023 ABD 201-1 SSI Eligibles

07/01/2016 FMA 201-1 ACA Parent Caretaker Relative 07/01/2016 ABD 201-2 Pickle Eligibility 07/01/2016 FMA 201-2 ACA Pregnancy 07/01/2016