Form hfs 1229a blank 2025

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The document is a renewal notice for Illinois Medicaid, informing the recipient about the process of redetermination for their medical coverage. It outlines steps to complete the renewal form, including providing accurate information, signing the form, and submitting necessary proof documents by February 25, 2014. The notice emphasizes the importance of timely submission to avoid loss of medical benefits and provides contact information for assistance.

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Versions	Form popularity	Fillable & printable
2013	4.8 Satisfied (62 Votes)
2012	1 Satisfied (16469 Votes)

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