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Michigan Department of Health and Human Services Children's Special Health Care ServicesINCOME REVIEW /PAYMENT AGREEMENT Instructions for Completion (MSA0738) The Income Review/Payment Agreement (MSA0738)

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Individuals or businesses who are applying for or receiving Medicaid benefits may need to fill out the MSA 0738 form.

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What is msa 0738 form?

The msa 0738 form is a tax form used to report miscellaneous and other income.

Who is required to file msa 0738 form?

Individuals who have received miscellaneous income during the tax year are required to file msa 0738 form.

How to fill out msa 0738 form?

To fill out msa 0738 form, you will need to provide information about the miscellaneous income you received, such as the amount and source.

What is the purpose of msa 0738 form?

The purpose of msa 0738 form is to report miscellaneous income to the IRS for tax purposes.

What information must be reported on msa 0738 form?

You must report the amount of miscellaneous income you received and the source of that income on msa 0738 form.

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