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Notices Sent to Current Recipients
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The Department of Health and Mental Hygiene will
send notices to current Medical Care Program recipients on a monthly
basis. The first recipients to receive notice are those with a
redetermination date during the month of September, 2006. Notices will
be mailed to that group at the end of July, 2006.
These notices will alert current recipients to the
new federal documentation of citizenship and identity requirement. The
notices will also inform the recipient of his or her current
documentation status. Recipients will receive one of three letters,
depending on which type of document(s) they must provide. The letters
can be viewed below:
Click on PDF Icons below to view files:
English Forms
|
Title |
PDF |
|
● |
DRA-1
(recipient of Medicare or SSI - no proofs needed)
|
 |
|
● |
DRA-2
(recipient with proof of citizenship already on file - only proof of
identity needed) |
 |
|
● |
DRA-3
(recipient must provide proof of both citizenship and
identity) |
 |
|
● |
DRA-4
(recipient notice for MCHP) |
 |
|
● |
DRA-5
(recipient notice for Waiver Programs) |
 |
|
● |
DRA-6
(recipient notice for Women's Breast & Cervical Cancer Health
Program) |
 |
|
● |
DRA-7 (recipient
with proof of identity already on file - only proof of citizenship
needed |
 |
Spanish Forms
|
Title |
PDF |
|
● |
DRA-1
(recipient of Medicare or SSI - no proofs needed) -
|
 |
|
● |
DRA-2
(recipient with proof of citizenship already on file - only proof of
identity needed) - |
 |
|
● |
DRA-3
(recipient must provide proof of both citizenship and
identity) - |
 |
|
● |
DRA-4
(recipient notice for MCHP) |
 |
|
● |
DRA-5
(recipient notice for Waiver Programs) |
 |
|
● |
DRA-6
(recipient notice for Women's Breast & Cervical Cancer Health
Program) |
 |
|
● |
DRA-7 (recipient
with proof of identity already on file - only proof of citizenship
needed |
 |
Updated 06/26/07 |