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., 02/24/2020
E.g., 02/24/2020
10/03/2014
Standard Application for Health Coverage & Help Paying Costs

Standard Application for Health Coverage & Help Paying Costs

10/03/2014
Out-of-Pocket Reimbursement Form

Out-of-Pocket Reimbursement Form - English

10/03/2014
DC Unassisted Application - English

DC Unassisted Application - English

10/03/2014
Immigration Status List - Spanish

Immigration Status List - Spanish

10/03/2014
Bill of Rights - DC ACT 12-607

BILL OF RIGHTS-DC ACT 12-607

10/03/2014
Employer Coverage Tool

Employer Coverage Tool

10/03/2014
Out-of-Pocket Reimbursement Form - Spanish

Out-of-Pocket Reimbursement Form - Spanish

10/03/2014
Retroactive Medicaid Application

Retroactive Medicaid Application

10/03/2014
Conflict of Interest

Conflict of Interest

10/01/2014
Authorized Representative Form

Authorized Representative Form

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