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MEDICAID ELIGIBILITY MANUAL, VOLUME III
REVISED 110196SECTION C
PAGE 3400APPLICATION AND REDETERMINATION PROCESSING
AUTHORIZING CHANGES
A.TIMELY
ACTION ON
Changes' worker must follow up on any information
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What is page 3400?
Page 3400 is a form used for reporting certain financial information to the relevant authorities.
Who is required to file page 3400?
Entities or individuals who meet specific criteria set by the authorities are required to file page 3400.
How to fill out page 3400?
Page 3400 can be filled out by providing accurate financial information as per the guidelines provided by the authorities.
What is the purpose of page 3400?
The purpose of page 3400 is to ensure that relevant financial information is reported accurately and in a timely manner.
What information must be reported on page 3400?
Page 3400 must include details of income, expenses, assets, liabilities, and other financial information as required by the authorities.
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