5:05cv60112jcosdp doc # 38 filed 07/28/06 pg 1 of 3 pg id 462 united states district court eastern district of michigan southern division plante & moran cresa, l.l.c, a michigan limited liability company, plaintiff, case no. 0560112 vs. the hon....
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Commonwealth of massachusetts executive office of health and human services office of medicaid .mass.gov/masshealth masshealth all provider bulletin 211 may 2011 to: all providers participating in masshealth from: terence g. dougherty, medicaid...
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Attachment a startup request form instructions for completing the startup request form to receive funds as a residential habilitation provider as specified under 51. for startup or life sharing initiative funds this request form will only contain...
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Baltimore city health department healthy homes 3 month follow up family id: case name: ebl/ppi: date of blood test: due date of next test: child with asthma: names of children with asthma: childs lead level: test overdue: fill out the following...
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Request for dys transfer to a dmh intensive residential treatment program client information client: street address: city: state: dob: sex: zip code: race: white preferred language: does parent speak english?: legal status committed date expired...
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Satisfactory academic progress financial aid appeal form students name (printed) students id number a date of birth email want aid reinstated for enrollment period purpose: students who do not meet satisfactory academic progress standards are...
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Issue brief financial alignment demonstrations for dual eligible beneficiaries compared: july 2013 states with memoranda of understanding approved by cms the centers for medicare and medicaid services (cms) has finalized memoranda of understanding...
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Its time to order your 201314 yearbook!four of the seventh grade girls have been creating the 201314 yearbook. in order toinclude all of the schools events, the yearbook will not be available for pickup until nextfall, but will need to be ordered...
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Dear applicant, enclosed you will find an application for a statewide transportation access pass. if approved, this pass entitles you to reduced fares offered by the commonwealth s regional transit authorities while riding on their fixed bus...
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Orange county bar association elder law section june meeting friday, june 13, 2014 12:00 p.m. to 1:30 p.m. note permanent change in location grand catered events 300 s. flower st., orange, ca 92868 free parking speaker: irene hoffman realtor real...
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Ursuline academy s lions in waiting learning to lead summer camp 2011 lions in waiting is a minority mentoring and leadership development program held at ursuline academy. we invite girls from any minority group, who are entering the 5th through...
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Institute of certified records managers original application use this form to apply for candidacy. documentation submitted becomes property of the icrm. icrm use only candidate id date application fee received applicant eligible date eligible yes...
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Florida hurricane catastrophe fund (fhcf) proof of loss report company name co. naic no. group naic no. (if applicable) contract year losses as of hurricane pcs cat. no. dates of loss section i estimated incurred ground-up or gross direct losses...
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Tips for masshealth consumers/employersusing the massachusetts pca directoryhow to register1. you must be registered to search online for job applicants in the massachusetts pca directory. visit.masspcadirectory.org scroll down and click on...
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Commonwealth of massachusetts executive office of health and human services sterilization consent form (ages 18 - 20) notice: your decision at any time not to be sterilized will not result in the withdrawal or withholding of any benefits provided...
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