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  • 2013 Mma Data Dictionary Form

Get 2013 Mma Data Dictionary Form

Medicare Modernization Act (MMA) State File Specifications and Data Dictionary Version 2.4 Last Modified: January 23, 2012 Document No: MMA.SPD.2701.02.4.0112 Contract No.: 500-2007-00141 Centers.

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How to fill out the 2013 MMA Data Dictionary Form online

This guide provides detailed and supportive instructions on how to complete the 2013 MMA Data Dictionary Form online. By following these steps, users can ensure accurate submissions and compliance with the required specifications.

Follow the steps to successfully fill out the form.

  1. Click the 'Get Form' button to access the MMA Data Dictionary Form and open it in your selected online editor.
  2. Review the header section of the form. Ensure that all pre-filled elements, such as the document version and state code, are correct according to your state specifications.
  3. Fill in the eligibility month/year fields accurately. Reference the correct month and year for which the eligibility is being reported as this is critical for processing.
  4. Complete the individual details section, ensuring each beneficiary's information including names, dates of birth, social security numbers, and dual status codes are entered correctly. Pay special attention to the format required for each field.
  5. Input the federal poverty level percentage indicator and ensure all relevant codes are filled per the guidelines specified in the document.
  6. Review the institutional status indicator to determine if the beneficiary was in a nursing facility or receiving home and community-based services, marking 'Y' or 'N' accordingly.
  7. In the low income subsidy section, include beneficiaries' subsidy application approval codes and effective dates as necessary, ensuring dates are formatted correctly.
  8. Conclude by checking all entries for completeness and accuracy. Utilize the form's 'Save', 'Download', 'Print', or 'Share' options to finalize your submission.
  9. Make sure to submit all changes before the end of the processing month and keep a copy for your records.

Complete your MMA Data Dictionary Form online today to ensure timely and accurate submission of your state data.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232