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Secretary John M. Colmers

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Governor Martin O'Malley and Lt. Governor Anthony G. Brown

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Notices Sent to Current Recipients - English & Spanish

 

Links marked with This is a PDF file. Adobe Acrobat Reader download is required to view PDF files. are PDF.  Download Adobe Acrobat Reader for viewing .pdf files

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 Icons below to view files:

Title PDF
● DRA-1 (recipient of Medicare or SSI - no proofs needed)   This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
● DRA-2 (recipient with proof of citizenship already on file - only proof of identity needed)  This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
● DRA-3 (recipient must provide proof of both citizenship and identity) This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
● DRA-4 (recipient notice for MCHP) This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
● DRA-5 (recipient notice for Waiver Programs) This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
● DRA-6 (recipient notice for Women's Breast & Cervical Cancer Health Program) This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
● DRA-7 (recipient with proof of identity already on file - only proof of citizenship needed This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.

Spanish Forms

Title PDF
● DRA-1 (recipient of Medicare or SSI - no proofs needed) - This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
● DRA-2 (recipient with proof of citizenship already on file - only proof of identity needed) - This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
● DRA-3 (recipient must provide proof of both citizenship and identity) - This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
● DRA-4 (recipient notice for MCHP) This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
● DRA-5 (recipient notice for Waiver Programs) This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
● DRA-6 (recipient notice for Women's Breast & Cervical Cancer Health Program) This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
● DRA-7 (recipient with proof of identity already on file - only proof of citizenship needed This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.

 

 

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