zz – Obsolete

Important Information about your Medical Assistance Benefits – OBSOLETE

Obsolete per IM-78 July 22, 2021

PURPOSE:   To provide each Medical Assistance applicant/recipient information regarding:

  • His/her Medicaid card
  • Getting medical care
  • About eligibility
  • About reinvestigations
  • About hearings

NUMBER OF COPIES AND DISTRIBUTION: Provide one copy of the brochure to any applicant/recipient upon notice of approval or when a reinvestigation is completed and continued eligibility exists.


0840.005.00 Annual Reinvestigation
0105.025.15.25 Medical Assistance Program Explanation

INSTRUCTIONS FOR COMPLETION: Enter the name of the eligibility specialist and his/her phone number on the back of the brochure.