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Get the free MF-AKY-0047-18 KY HEALTH Med Frail Provider Attestation ENG FINAL. Accessible PDF

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Page 1Kentucky Medically Frail Provider Attestation v5 This Attestation is to be completed by an enrolled Medicaid Provider whose scope of expertise qualifies them to assess the Member for “medical
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mf-aky-0047-18 ky health med is a form used to report health insurance coverage provided to individuals in the state of Kentucky.
Employers and insurers who provide health coverage to Kentucky residents are required to file mf-aky-0047-18 ky health med.
You can fill out mf-aky-0047-18 ky health med electronically or by mail following the instructions provided on the form.
The purpose of mf-aky-0047-18 ky health med is to report health insurance coverage to the Kentucky Department of Revenue.
Information such as the name, address, and social security number of the individual covered, as well as details of the health coverage provided.
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