Get the 92-LCM-020 Revised Medicaid Presumptive Eligibility for Pregnant Women Screening Checklist (DSS-4150) and updated list of qualified providers. This form is used by Prenatal Care Assistance Programs (PCAP) and other qualified providers to - - ocfs state ny

++ LOCAL COMMISSIONERS MEMORANDUM ++ Transmittal No: Date: 92 LCM20 February 5, 1992 Division: Medical Assistance TO: Local District Commissioners SUBJECT: Revised Medicaid Presumptive Eligibility
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