Medicare Current Beneficiary Survey (MCBS):(CMS Number CMS-P-0015A)

Created 1/1/10

HI3

Sample Medicaid Card - Ohio (OH)

[Card image varies by Medicaid plan name.]

Created 1/1/10

HI3

Sample Medicaid Card - Oklahoma (OK)

Created 1/1/10

HI3

Sample Medicaid Card - Oregon (OR)

Created 1/1/10

HI3

Sample Medicaid Card - Pennsylvania (PA)

Created 1/1/10

HI3

Sample Medicaid Card – Puerto Rico (PR)

[Card image varies by Medicaid plan name.]

Created 1/1/10

HI3

Sample Medicaid Card - Rhode Island (RI)

Created 1/1/10

HI3

Sample Medicaid Card - South Carolina (SC)

Created 1/1/10

HI3

Sample Medicaid Card - South Dakota (SD)