IM-145 10/05/00 REV MC+ APPROVAL LETTER FORMS MAN REV#31
|REVISED MC+ APPROVAL LETTER
FORMS MANUAL REVISION #31
IM-32MC FORM AND INSTRUCTIONS
|The IM-32MC, approval letter for MC+ children
with income up to 225% of the Federal Poverty Level and custodial parents,
has been revised. The following changes have been made to the letter:
An IMPORTANT NOTICE section now addresses appeal rights of the claimant. It explains that if a person is not eligible for unrestricted or no-cost coverage, the reason is because the family's income exceeds the limit for that type of coverage.
A non-emergency medical transportation, (NEMT) box has been added to identify persons eligible for this service. The instructions for the IM-32MC have been revised to reflect the change in the form.
Form not available on-line, hard copy only