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SAMPLE1ADULT FAMILY HOME RESIDENT ADMISSION AGREEMENT (MEDICAID ELIGIBLE RESIDENTS)Note: Words that are underlined and italicized are notes or instructions to the Facility; they should not be included
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Medicaid eligible residents are individuals who meet the requirements set forth by the Medicaid program to receive healthcare coverage.
Healthcare providers and facilities are required to file information on medicaid eligible residents.
To fill out information on medicaid eligible residents, providers must gather relevant data and submit it through the Medicaid system.
The purpose of medicaid eligible residents is to ensure that individuals who meet the criteria have access to necessary healthcare services.
Providers must report personal details, medical history, and financial information of medicaid eligible residents.
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