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Form 8944 (Rev. September 2017)
waiver request. Approval of Waiver. If your waiver is approved, you should document your waiver reference number and approval letter date on line 2 of Form 8948
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Waivers - Virginia Medicaid
Developmental Disability Medicaid Fact Sheets Evidence Based Reports - New Developmental Disability Waiver Rates.
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Participation Agreement and Waiver Form
In exchange for being allowed to participate in the Program, I hereby release and forever discharge and agree to indemnify the [ university / college ], the
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