C19 -TOC Table of Contents 19.1 Definitions 19.2 Emergency Assistance 19.3 Reserved for Future Use 19.4 Reserved for Future Use 19.5 Indigent Burial Program 19.6 Reserved for Future Use 19.7 Public Utility Program 19.8 Tel-Assistance, Lifeline, and Link Up Appendix A Emergency Assistance Income Limits Appendix B Counties Served - Utility Program Appendix C Hospitals with Border Status for Medicaid Appendix D Public Forms DFA-67-A - Burial Billing DFA-BU-1 - Application for Burial Benefits DFA-BU-2 - Affidavit of Responsible Relative OFA-NEMT-1 - NEMT Application OFA-NEMT-1A - Supplement to NEMT Application Appendix E Tel-Assistance/Lifeline and Link Up Participating Telephone Companies Home I Manual Changes and DW-17's I Manual Search Manual Archive I Manual Change Archive This page was last updated on August 5, 2009 .
Hospitals with Border Status for Medicaid
Public Forms DFA-67-A - Burial Billing DFA-BU-1 - Application for Burial Benefits DFA-BU-2 - Affidavit of Responsible Relative OFA-NEMT-1 - NEMT Application OFA-NEMT-1A - Supplement to NEMT Application
Home I Manual Changes and DW-17's I Manual Search Manual Archive I Manual Change Archive
This page was last updated on August 5, 2009 .