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June 24, 2014, NAME TITLE ADDRESS CITY STATE ZIP Dear Tribal Chair and Health Director: RE: Medicaid Co-payment Exemptions This letter, in compliance with Section 6505 of the Affordable Care Act,
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What is l 12-19 template?
The l 12-19 template is a form used for reporting specific information.
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The l 12-19 template should be filled out with accurate and complete information as per the instructions provided.
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The l 12-19 template typically requires reporting of specific financial or operational data.
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