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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
7500 Security Boulevard, Mail Stop S22612
Baltimore, MD 212441850
Center for Medicaid, CHIP and Survey & Certification
CCS
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How to fill out state option to enroll

How to fill out state option to enroll:
01
Begin by locating the section on the enrollment form that asks for your state.
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Some examples of instances where state option to enroll may be necessary include applying for in-state tuition at a university, accessing state-based healthcare programs, or registering for state-specific benefits or assistance programs.
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