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Supplement 1c to Attachment 3.1A Page 1 State Plan under Title XIX of the Social Security Act State/Territory: CALIFORNIA TARGETED CASE MANAGEMENT SERVICES MEDICAID ELIGIBLE STUDENTS UNDER AGE 22
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Supplement 1c to attachment is a specific form or document that accompanies a primary attachment, providing additional required information, usually for compliance or reporting purposes.
Individuals, organizations, or entities that engage in activities or transactions related to the primary attachment are required to file supplement 1c.
To fill out supplement 1c, follow the provided instructions carefully, ensuring all required fields are completed accurately and any necessary documentation is attached.
The purpose of supplement 1c is to provide additional details and information that are essential for the processing and evaluation of the primary document.
The information that must be reported typically includes specific data relating to the subject of the attachment, such as financial details, identification numbers, and relevant dates.
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