Get the free www.cms.govMedicare-Medicaid-CoordinationDEPARTMENT OF HEALTH AND HUMAN SERVICES Cen...

DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services 7500 Security Boulevard, Mail Stop S22612 Baltimore, Maryland 212441850December 3, 2020 Melody Anthony State Medicaid

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1. To fill out the www.cms.gov/Medicare-Medicaid-Coordination/Department-of-Health-and-Human-Services form, follow these steps:
2. Visit the website www.cms.gov/Medicare-Medicaid-Coordination/Department-of-Health-and-Human-Services.
3. Locate the form on the website.
4. Download the form to your device.
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7. Fill in the necessary information in each section of the form.
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1. Individuals who require coordination between their Medicare and Medicaid benefits should use the www.cms.gov/Medicare-Medicaid-Coordination/Department-of-Health-and-Human-Services form.
2. This form is needed by those who are eligible for both Medicare and Medicaid and need assistance in ensuring their benefits are properly coordinated.
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