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District of Columbia
Medicaid Client Intake Form

District of Columbia Medicaid Client Intake Form

Category:

Federal - Medicaid and Medicare

State:

Multi-State

Control #:

US-00326-I

Format:

Instant download

Description

This form gathers the information needed by an attorney to represent a client seeking assistance in planning for Medicaid benefits.

District of Columbia Medicaid Client Financial Information

District of Columbia Medicaid Analysis Form (married)

District of Columbia Medicaid Analysis Form (single)

District of Columbia Medicaid Income Trust Form

District of Columbia Request for Medicaid Planning Documents and Information

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