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DSS-OS-950 05/15 TITLE XIX MEDICAL TRANSPORTATION REIMBURSEMENT FORM To Be Returned After Your Trip -See reverse side for program guidelines, form instructions and contact/mailing information- ***TO.

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MISREPRESENTATION Related content

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Fraudulently Questions & Answers

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South Dakota Medicaid and CHIP Programs provide coverage to help pay for necessary medical expenses individuals need to stay healthy such as: hospital stays, doctor visits, prescriptions, nursing home care and other health care needs.

About the Way2Go Card® It is a reloadable MasterCard® prepaid debit card that provides an electronic option for receiving your NEMT warrants. It is not a credit card, but works similarly to other debit cards.

The Way2Go MasterCard is an electronic payment card; it is not a credit card. It is a prepaid debit card to which your child support payments are directly deposited. You can use the card to get cash at automated teller machines (ATMs) and cash back at many retail stores.

South Dakota Medicaid covers most medical services that are necessary to keep you and your family healthy. This includes services such as annual check-ups, pre-natal care, and immunizations. Apply to find out if you are eligible. Be Healthy!

The Department of Social Services' Division of Economic Assistance is responsible for determining eligibility for South Dakota Medicaid and the Children's Health Insurance Program (CHIP) to help low income families and children.

The Way2Go Card® is a reloadable MasterCard® prepaid debit card that can be used to receive cash at ATMs and cash back at many retail stores. The Electronic Payment Card is used to distribute electronic payments to individuals who do not want to use direct deposit through a conventional bank or credit union.

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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
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
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 workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
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