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Customer Contact Center Food Stamp/Family Medicaid Phase II ...

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Call <strong>Center</strong> FS & FM <strong>Phase</strong> <strong>II</strong> PG February 29, 2008<br />

RSM and Newborn<br />

ELIG F15<br />

<br />

Enter Y to confirm<br />

CHANGE NON-FINANCIAL ELIGIBILITY RESULTS - ELIG ELIG C<br />

Month 11 06 3981 10 05 06 01<br />

AU ID 689122410 Prog MA Prog Type F Med COA F15<br />

Confirm Y<br />

AU AU Status AU Stat Appl Begin Pd Thru - - - Penalty - - -<br />

Stat Reasons Date Date Date Date Type End Date<br />

A 100506 100306 100106<br />

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -<br />

First Last Rel V Mand Finl - - Stat - - Rsn Appl Begin Pd Thru Penalty<br />

Name Name Incl Resp Date Date Date Date T Date<br />

ALLIS ARR SE OT N NM A 100506 100306<br />

EMAN ARR CH OT Y RE A 100506 100306 100106<br />

Message<br />

PG-39

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