1 Former Foster Care Children – Presumptive Eligibility

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

Medicaid and CHIP Program (MACPro)
S33a-Former Foster Care Children – Presumptive
Eligibility PRA document
Version 1.0
08/18/2017

Document Number: 217-QSSI-MACPro-PRA-S33a-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

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Table of Contents

Table of Contents
1. S33a-Former Foster Care Children – Presumptive Eligibility - Screenshots ...... 1
1.1

Former Foster Care Children – Presumptive Eligibility .................................... 1

List of Figures
Figure 1: Former Foster Care Children – Presumptive Eligibility – 1 ............................... 1
Figure 2: Former Foster Care Children – Presumptive Eligibility – 2 ............................... 2
Figure 3: Former Foster Care Children – Presumptive Eligibility – 3 ............................... 2
Figure 4: Former Foster Care Children – Presumptive Eligibility – 4 ............................... 3
Figure 5: Former Foster Care Children – Presumptive Eligibility – 5 ............................... 3

S33a-Former Foster Care Children – Presumptive Eligibility PRA document Version 1.0

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S33a-Former Foster Care Children – Presumptive Eligibility - Screenshots

1. S33a-Former Foster Care Children – Presumptive
Eligibility - Screenshots
1.1

Former Foster Care Children – Presumptive Eligibility

Figure 1: Former Foster Care Children – Presumptive Eligibility – 1

S33a-Former Foster Care Children – Presumptive Eligibility PRA document Version 1.0

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S33a-Former Foster Care Children – Presumptive Eligibility - Screenshots

Figure 2: Former Foster Care Children – Presumptive Eligibility – 2

Figure 3: Former Foster Care Children – Presumptive Eligibility – 3

S33a-Former Foster Care Children – Presumptive Eligibility PRA document Version 1.0

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S33a-Former Foster Care Children – Presumptive Eligibility - Screenshots

Figure 4: Former Foster Care Children – Presumptive Eligibility – 4

Figure 5: Former Foster Care Children – Presumptive Eligibility – 5

S33a-Former Foster Care Children – Presumptive Eligibility PRA document Version 1.0

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