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Michelle Lujan Grisham, Governor Kari Armijo, Acting Secretary Lorelei Kellogg, Acting Medicaid Director DEPARTMENTAL MEMORANDUM MADMR: 2307 DATE: 12/5/2023 TO:MAD STAFFFROM:LORELEI KELLOGG, ACTING

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What is 4102 legacy on penn?

4102 legacy on penn is a form used to report legacy information in the Penn system.

Who is required to file 4102 legacy on penn?

Any individual or organization that has legacy information in the Penn system is required to file 4102 legacy on penn.

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The purpose of 4102 legacy on penn is to ensure accurate reporting and maintenance of legacy information in the Penn system.

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On 4102 legacy on penn, you must report detailed legacy information such as names, dates, and relationships.

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