Dma 5045 information-2025

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4.4 out of 5

132 votes

The document is a certification form used by the Division of Medical Assistance to communicate between county social services, physicians, and the DMA regarding the need for institutional care for individuals under age 21. It outlines the process for determining Medicaid financial eligibility based on anticipated treatment duration and required medical documentation.

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Versions	Form popularity	Fillable & printable
2019	4.8 Satisfied (146 Votes)
2000	4.4 Satisfied (132 Votes)

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