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[DOC File]Aid Codes Master Chart (aid codes) - Medi-Cal
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The Aid Codes Master Chart was developed for use in conjunction with the Medi-Cal Automated Eligibility Verification System (AEVS). Providers must submit an inquiry to AEVS to verify a recipient’s eligibility for
[DOC File]LEAVE REQUEST FORM/AUTHORIZATION - United States Navy
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days i certify that the above is correct and proper to the best of my knowledge. 32. certifying officer’s typed name/rank/title. 33. certifying officer’s signature forward this copy to personnel office via command only on completion of leave. s/n 0104-lf-703-0656 part 1 1.
[DOT File]DHS-0069, Foster Care Juvenile Justice Action Summary
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risk of harm to the child’s emotional well-being or physical safety within the caregiver’s home. The court has ordered the child to be moved. The supervising agency believes it is in the child’s best interest to be moved. The placement is not Indian Child Welfare Act (ICWA) compliant and the child is being moved to an ICWA compliant ...
[PDF File]International Prostate Symptom Score (I-PSS)
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About the I-PSS The International Prostate Symptom Score (I-PSS) is based on the answers to seven questions concerning urinary symptoms and one question concerning quality of life.
[DOCX File]AFTER ACTION REPORT SAMPLE
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after action report sample. department of the xxxxx. military organization. base name air force base, state, country, etc… memorandum for . from: subject: after action report,
[DOC File]www.dol.gov
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Model COBRA Continuation Coverage General Notice . Instructions . The Department of Labor has developed a model Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA) continuation coverage general notice that plans may use to provide the general notice.
[DOC File]LETTER ADVISING EMPLOYEE THEY HAVE EXHAUSTED THEIR FMLA
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Please note - this document should be placed on dept. letterhead. Date. Employee Name. Address, City, State Zip. Dear (name): I hope this letter finds you recuperating and getting your strength back
[PDF File]I. Analgesics - TennCare Portal
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Effective Date: September 1, 2019 TennCare Preferred Drug List (PDL) | Page 3 Preferred Drugs Non‐Preferred Drugs I. Analgesics NSAID/Anti‐Ulcer Agents N/A Arthrotec® PA, QL Duexis® PA, QL diclofenac/misoprostol PA, QL Vimovo® PA, QL Salicylates and Non‐Narcotic Combination Agents
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