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PAFS121 COMMONWEALTH OF KENTUCKY FMTL365 (R. 5/05) Cabinet for Health and Family Services(N)Department for Community Based ServicesIRREGULAR WORK FORM Case Name Date Case Number Worker NameRecipient's
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Kentucky Medicaid change of is a form used to update information related to Medicaid eligibility.
Individuals who are enrolled in Kentucky Medicaid are required to file a change of information form.
The Kentucky Medicaid change of form can be filled out online through the official Kentucky Medicaid website or by contacting a Medicaid representative.
The purpose of kentucky medicaid change of is to ensure that the information on file for Medicaid recipients is accurate and up to date.
Information such as changes in income, household size, residence, and other personal details must be reported on the Kentucky Medicaid change of form.
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