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• [DOC File]Aid Codes Master Chart (aid codes) - Medi-Cal

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  The aid codes in this chart are meant to assist providers in identifying the types of services for which Medi-Cal and public health program recipients are eligible. The chart includes only aid codes used to bill for services through the Medi-Cal claims processing system and for other non Medi-Cal programs that

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• [DOT File]DHS-0069, Foster Care Juvenile Justice Action Summary

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  Foster Care/Juvenile Justice Action Summary Michigan Department of Health and Human Services Case name Case ID Child name Child person ID Worker name Organization Phone number Email Date completed Type of action (check as many as apply) Effective date Child fatality notification (complete section 1) Caseworker/organization change (complete section 2) Parent contact information change …

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• [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.

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• [DOC File]LETTER ADVISING EMPLOYEE THEY HAVE EXHAUSTED THEIR …

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  LETTER ADVISING EMPLOYEE THEY HAVE EXHAUSTED FMLA . 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 ... LETTER ADVISING EMPLOYEE THEY HAVE EXHAUSTED THEIR FMLA ...

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• [DOC File]Sample Schedule A Letter - Veterans Benefits Administration

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  Sample Schedule A Letter from the Department of Labor’s Office of Disability and Employment Policy: Date . To Whom It May Concern: This letter serves as certification that (Veteran’s name) is a person with a severe disability that qualifies him/her for consideration under the Schedule A hiring authority.

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• [DOC File]LEAVE REQUEST FORM/AUTHORIZATION - United States Navy

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  DAYS AS OF 18. LEAVE USED THIS FY. 19. LEAVE PHONE - 20. LEAVE ADDRESS. 21. RATION STATUS (Enlisted) COMMUTED RATIONS (COMRATS) Meal Pass No. Entitled to EDF meals except during. periods of leave I CERTIFY THAT I HAVE SUFFICIENT FUNDS TO COVER THE COST OF ROUND TRIP TRAVEL.

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• [DOC File]Remittance Advice Details (RAD) Codes and Messages: 001 ...

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  This section lists Remittance Advice Details (RAD) codes and messages that may be used in reconciling accounts. The following codes appear on the Medi-Cal Remittance Advice Details (RAD) for claims that are approved, denied, suspended or adjusted, as well as …

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• [DOCX File]Application for Kentucky Certificate of Title or Registration

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  Kentucky Transportation Cabinet. Division of Motor Vehicle Licensing. APPLICATION FOR KENTUCKY CERTIFICATE OF TITLE OR REGISTRATION. TC 96-182. 03/2019

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