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Y required for each sample. (Please print or type responses). Environmental samples require pre-screening by a trained person prior to acceptance. Original Specimen Collected by (Print & Sign) Collection Date: Collection Location: Collection Time: Incident Description: Collection Conditions: Incident Address: Signs and Symptoms Onset, Diagnosis Level of Risk: High Moderate Low Exercise Sample Information- Clinical specimens need a LIMS request submitted. Clinica.

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Division of Medicaid and Medical Assistance (DMMA) Medicaid provides payment for health care to low-income individuals and families and people with disabilities whose income is insufficient to meet the cost of necessary medical services.

Division of Social Services (DSS) - Delaware Health and Social Services - State of Delaware.

Medicaid and the Children's Health Insurance Program (CHIP) provide free or low-cost health coverage to some low-income people, families and children, pregnant women, the elderly, and people with disabilities. Some states expanded their Medicaid programs to cover all people below certain income levels.

Delaware Diamond State Health Plan (DSHP) 1115 Demonstration Waiver. Delaware's Diamond State Health Plan (DSHP) 1115 Demonstration Waiver was initially approved in 1995 and implemented beginning January 1, 1996.

Medicaid and CHIP provide health and long-term care coverage to 80 million low-income children, pregnant women, adults, seniors, and people with disabilities across the U.S. as of May 2024. Total Medicaid and CHIP enrollment in Delaware was 252,239 in Jun 2024.

You will need to provide verification of your income. You do not need to provide proof of your assets or resources (bank accounts, cars, stocks, etc.) or come into our offices to be interviewed unless you are applying for one of the Long Term Care Medicaid programs or Home and Community Based Services).

Diamond State Health Plan - Delaware's Medicaid Managed Care Program.

Delaware Department of Health and Social Services (DHSS)

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© Copyright 1997-2025
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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