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Get CO CCAR Administrative Section

At is individual's race? First Name Title (Jr., Sr., III, etc) Middle Name Enrollment / Payer Medicaid Fee for Service State / Other Federal Medicare Local Self Pay CHP+ Referral Source Complete Only At Discharge Discharge Date Insurance & Third Party Medicaid - Capitated Date of Last Contact CCAR Effective Date / Date of CCAR (See list) Action Type / Reason for CCAR Mental Health Only DYC Only 21 = Detention Admission 01 = Admission 03 = Update 22 = Detention Release 05 = Dischar.

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