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State New Mexico Date Received 3/26/14 Date Approved 6/13/14 Effective Date 1/1/14 Transmittal Number NM 13-26 Medicaid Eligibility OMB Control Number 0938-1148 OMB Expiration date 10/31/2014 Presumptive Eligibility by Hospitals S21 42 CFR 435. 1110 One or more qualified hospitals are determining presumptive eligibility under 42 CFR 435. 1110 and the state is providing Medicaid coverage for individuals determined presumptively eligible under this provision. Yes No The state attests that...
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How to fill out stateterritory name:

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Start by locating the designated field for the stateterritory name on the form or document you are working with. It is typically labeled as "State/Territory" or something similar.
02
Enter the name of the state or territory in which the relevant information corresponds. For example, if you are filling out a form for a postal address in California, you would write "California" in this field.
03
Make sure to double-check the spelling and accuracy of the stateterritory name before submitting the form or document.

Who needs stateterritory name:

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Individuals filling out forms or documents that require their current address information often need to provide the stateterritory name.
02
Businesses and organizations may also require the stateterritory name when collecting address details for shipping, billing, or other purposes.
03
Government agencies, such as those involved in census data collection or voter registration, frequently request individuals to provide their stateterritory name as part of their demographic information.
Remember, filling out the stateterritory name correctly is essential for ensuring accurate communication and delivering services effectively.
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State territory name refers to the official name of a state or territory within a country.
State or territory government officials are usually responsible for filing the state or territory name.
The state or territory name can be filled out on official forms provided by the government or through online portals.
The purpose of stating the territory name is to establish the official identification of the state or territory within the country.
The stateterritory name typically includes the official name of the state or territory as recognized by the government.
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