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Office of Health Care Ombudsman and Bill of Rights

Office of Health Care Ombudsman and Bill of Rights
 

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Publications

E.g., 06/08/2025
E.g., 06/08/2025
10/03/2014
Retroactive Medicaid Application

Retroactive Medicaid Application

10/03/2014
Conflict of Interest

Conflict of Interest

10/03/2014
Employer Coverage Tool - Spanish

Employer Coverage Tool

10/03/2014
QMB Application Packet May 2014

QMB Application Packet May 2014

10/03/2014
Standard Application for Health Coverage & Help Paying Costs

Standard Application for Health Coverage & Help Paying Costs

10/03/2014
Appeal Form

Appeal Form

10/03/2014
Bill of Rights - Amendment - Act of 2011

Bill of Rights - Amendment - Act of 2011

10/03/2014
Immigration Status List - Spanish

Immigration Status List - Spanish

10/03/2014
DC Unassisted Application - English

DC Unassisted Application - English

10/01/2014
Authorized Representative Form

Authorized Representative Form

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