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HHSC Forms and Instructions

Form H1233-MBIC-S

Form Record:

Number: H1233-MBIC-S
Title: Redetermination Cover Letter (Medicaid Buy-In for Children) (Spanish)
Effective Date: 01/2011
Instructions 01/2011

Availability

Word : H1233-MBIC-S.doc
Pdf : H1233-MBIC-S.pdf