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Get IA H5168A 2014-2024

to get any of these services? Yes No $ How often? Certain money received may not be counted for Medicaid or Healthy and Well Kids in Iowa (hawk-i). List any income (amount and how often) reported on your application that includes money from these sources: • Per capita payments from a tribe that come from natural resources, usage rights, leases, or royalties. • Payments from natural resources, farming, ranching, fishing, leases, or royalties from land designated as Indian trust land by.

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