MEMORANDUM
2006 Memorandums
IM-71      07/10/06

SUBJECT:

IMU5 CODE SHEET FORMS MANUAL REVISION #11

DISCUSSION:

The IMU5 Code Sheet is revised to reflect the addition of Field 13H1 and the valid codes for this field; these changes were announced in Memorandum IM-66, dated 6/23/06. Additionally, the heading for field 13H has been updated to Citizenship/Alien Status.

Field 13H1-CITIZENSHIP/IDENTITY VERIFICATION CODES:

Y- Citizenship/identity verified

N- Citizenship/identity not verified

P- Citizenship/identity verification pending

This code sheet is available on the Intranet only. To access the code sheet from the FSD Intranet, select Medicaid under the Programs section. Select the Tools/Guides link. Select IMU5 Codesheet. Finally, select the link for IMU5 Code Sheet - Revised 07/2006 pdf logo.

NECESSARY ACTION:

ER

IM-70  |   2006 Memorandums  |  IM-72