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Medicaid Eligibility OMB Control Number: 09381148State Name: Utah Transmittal Number: UT 16 0005Expiration date: 10/31/2014Presumptive Eligibility by HospitalsS2142 CFR 435.1110 One or more qualified
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State name Utah is Utah.
All residents and businesses in Utah are required to file State Name Utah.
State Name Utah can be filled out online through the official Utah state website or by mail.
The purpose of State Name Utah is to collect information about individuals and businesses in Utah for tax and record-keeping purposes.
State Name Utah typically requires information on income, deductions, credits, and any other relevant financial information.
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