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Publications

10/03/2014 - 12:00pm

Retroactive Medicaid Application

Retroactive Medicaid Application

RETROACTIVE MEDICAID APPLICATION.9.25.2014.pdf (117.05 KB)

10/03/2014 - 12:00pm

DC Unassisted Application - English

DC Unassisted Application - English

DC Unassisted Application - English (937.57 KB)

10/03/2014 - 12:00pm

Financial Eligibility Attachment 2.6A: Supplement 9a

Financial Eligibility Attachment 2.6A: Supplement 9a

Financial Eligibility Attachment 2.6A: Supplement 9 (266.43 KB)

10/03/2014 - 12:00pm

Bill of Rights - Amendment - Act of 2011

Bill of Rights - Amendment - Act of 2011

BILL OF RIGHTS-AMENDMENT - ACT OF 2011.pdf (612.66 KB)

10/03/2014 - 12:00pm

Immigration Status List

Immigration Status List

Immigration Status List (77.4 KB)

10/03/2014 - 12:00pm

DC Standard Paper Application - Spanish

DC Standard Paper Application - Spanish

DC STANDARD PAPER APPLICATION (SPANISH)-(Sept2013).pdf (694.24 KB)

10/03/2014 - 12:00pm

Standard Application for Health Coverage & Help Paying Costs

Standard Application for Health Coverage & Help Paying Costs

DC STANDARD IAP PAPER APPLICATION (ENGLISH)-(Sept Final).pdf (1.14 MB)

10/03/2014 - 12:00pm

Employer Coverage Tool

Employer Coverage Tool

Employer Coverage Tool (325.02 KB)

10/03/2014 - 12:00pm

Employer Coverage Tool - Spanish

Employer Coverage Tool

Employer Coverage Tool - Spanish (147.12 KB)

10/03/2014 - 12:00pm

Immigration Status List - Spanish

Immigration Status List - Spanish

IMMIGRATION STATUS LIST (SPANISH).pdf (79.62 KB)

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