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MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL 362-384 Odd Even 01-09 10-64 442-447 Odd Even 01-09 10-60 505 Odd Even 01-09 10-82 385 Odd Even 01-09 10-62 448 Odd Even 01-09 10-58 506-508 Odd Even 01-09 10-80 386-396 Odd Even 01-09 10-64 449-451 Odd Even 01-13 02-98 509-514 Odd Even 01-09 10-64 397-398 Odd Even 01-09 10-62 452 Odd Even 01-11 02-98 515 Odd Even 01-09 10-62 399 Odd Even 01-09 10-64 453-457 Odd Even 01-13 02-98 516 Odd Even 01-09 10-74 400-405 Odd Even 01-09 10-86 458-465 Odd Even 01-11 02-98 517 Odd Even 01-09 10-72 406-407 Odd Even 01-09 10-84 466 Odd Even 01-09 02-98 518-519 Odd Even 01-09 10-74 408 Odd Even 01-09 02;10-98 467 Odd Even 01-11 02-98 520 Odd Even 01-09 10-70 409 Odd Even 01-09 02-04;

10-98 468-470 Odd Even 01-09 10-72 521-524 Odd Even 01-09 10-90 410-415 Odd Even 01-09 02;10-98 471-477 Odd Even 01-09 10-70 525 Odd Even 01-09 10-98 416-420 Odd Even 01-09 10-82 478-479 Odd Even 01-09 10-78 526-527 Odd Even 01-21 02-98 421-424 Odd Even 01-09 10-80 480-485 Odd Even 01-09 10-76 528-529 Odd Even 01-09 10-92 425 Odd Even 01-09 02-98 486-489 Odd Even 01-09 10-66 530 Odd Even 01-09 10-56 426-428 Odd Even 01-09 2-06;10-98 490-500 Odd Even 01-09 10-64 531-534 Odd Even 01-09 10-64 429 Odd Even 01-15 02-98 501 Odd Even 01-09 10-74 535-539 Odd Even 01-09 10-62 430-432 Odd Even 01-13 02-98 502 Odd Even 01-09 10-72 540-544 Odd Even 01-09 10-74 433-439 Odd Even 01-09 02;10-98 503 Odd Even 01-09 10-76 545-546 Odd Even 01-11 02-98 440-441 Odd Even 01-09 10-62 504 Odd Even 01-09 10-74 547 Odd Even 01-09 02-98

APPENDIX G Division of Welfare and Supportive Services MEDICAL ASSISTANCE PROGRAM MANUAL Medical Assistance Manual PRUCOL VERIFICATION MTL 02/13 01 Nov 13