1 Presumptive Eligibility for Parents and Other Caretaker

Centers for Medicare & Medicaid Services
CMS eXpedited Life Cycle (XLC)

Medicaid and CHIP Program (MACPro)
S25a-Presumptive Eligibility for Parents and
Other Caretaker Relatives PRA document
Version 1.0
08/17/2017

Document Number: 206-QSSI-MACPro-PRA-S25a-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. S25a-Parents and Other Caretaker Relatives – Screenshots ............................... 1
1.1

Parents and Other Caretaker Relatives .......................................................... 1

List of Figures
Figure 1: Parents and Other Caretaker Relatives – 1...................................................... 1
Figure 2: Parents and Other Caretaker Relatives – 2...................................................... 2
Figure 3: Parents and Other Caretaker Relatives – 3...................................................... 2
Figure 4: Parents and Other Caretaker Relatives – 4...................................................... 3
Figure 5: Parents and Other Caretaker Relatives – 5...................................................... 3

S25a-Presumptive Eligibility for Parents and Other Caretaker Relatives PRA document Version 1.0

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S25a-Presumptive Eligibility for Parents and Other Caretaker Relatives – Screenshots

1. S25a-Presumptive Eligibility for Parents and Other
Caretaker Relatives – Screenshots
1.1

Presumptive Eligibility for Parents and Other Caretaker Relatives

Figure 1: Presumptive Eligibility for Parents and Other Caretaker Relatives – 1

S25a-Presumptive Eligibility for Parents and Other Caretaker Relatives PRA document Version 1.0

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S25a-Presumptive Eligibility for Parents and Other Caretaker Relatives – Screenshots

Figure 2: Presumptive Eligibility for Parents and Other Caretaker Relatives – 2

Figure 3: Presumptive Eligibility for Parents and Other Caretaker Relatives – 3

S25a-Presumptive Eligibility for Parents and Other Caretaker Relatives PRA document Version 1.0

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S25a-Presumptive Eligibility for Parents and Other Caretaker Relatives – Screenshots

Figure 4: Presumptive Eligibility for Parents and Other Caretaker Relatives – 4

Figure 5: Parents and Other Caretaker Relatives – 5

S25a-Presumptive Eligibility for Parents and Other Caretaker Relatives PRA document Version 1.0

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