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DMAS-97 revised 08/12. Instructions for Completing the DMAS-97. INDIVIDUAL CHOICE - Institutional Care or Waiver Services Form. Complete this form when authorizing nursing facility or home- and community-based care services.
DMAS 99. Community Based Care Recipient Assessment Form.
The provider must use the form to document admission date, request Medicaid eligibility status, and notify the LDSS of changes in the patients circumstances, discharge or death.
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