S87, U0061 - Continue MA Unchanged (Attestor or Current Documenter Failed to Verify) Read more about S87, U0061 - Continue MA Unchanged (Attestor or Current Documenter Failed to Verify)
S86, U0160 - Community Coverage With CBLTC to Community Coverage With No LTC Fail to Prov Doc of Income and/or Resource at Renewal No SD Read more about S86, U0160 - Community Coverage With CBLTC to Community Coverage With No LTC Fail to Prov Doc of Income and/or Resource at Renewal No SD
E23, X0123 - Spenddown to No Spendown Child Under 19 Read more about E23, X0123 - Spenddown to No Spendown Child Under 19
E81, C0101 - Discontinue QI-1 Coverage Annual Fund Exhausted Read more about E81, C0101 - Discontinue QI-1 Coverage Annual Fund Exhausted
LDSS 1348 - Authorization - Voucher for Medical Travel and Incidental Expenses Read more about LDSS 1348 - Authorization - Voucher for Medical Travel and Incidental Expenses
LDSS 939 - Medical Assistance Questionnaire - Responsible Relative Read more about LDSS 939 - Medical Assistance Questionnaire - Responsible Relative
LDSS 901 - Authorization for Medical Examination and Payment Request Read more about LDSS 901 - Authorization for Medical Examination and Payment Request