M E M O R A N D U M

IM-106  08/07/03  FORMS MANUAL REVISION #15
IM-56  Transitional Medical Assistance Reminder Notice
  IM-57  Transitional Medical Assistance Closing Notice
IM-58  Transitional Medical Assistance Suspension Notice


SUBJECT:
FORMS MANUAL REVISION #15
IM-56  Transitional Medical Assistance Reminder Noticepdf file
IM-57  Transitional Medical Assistance Closing Noticepdf file
IM-58  Transitional Medical Assistance Suspension Noticepdf file
DISCUSSION:
The above referenced forms have been revised to reflect current terminology and procedures being used for our Transitional Medical Assistance program.

There has been no change in procedures for the use of these forms.

NECESSARY ACTION:
  • Review this memorandum with appropriate staff.
  • File the revised forms in the Forms Manual.
CSW
Attachments

IM-105
[ 2003 Memorandums ]
IM-107