Medicaid Brochures 510-05-25-20
(Revised 4/1/06 ML #3021)
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All applicants for Medicaid
must be provided the "Application for Assistance Guidebook"
or, in place of the guide book:
- A brochure entitled
"Medicaid" (376kb pdf) (05-100-15) outlining
the services available under the Medicaid Program;
- A brochure entitled
"Your Civil Rights" (152kb pdf) (05-100-20);
- A notice entitled
"Notice of Privacy Practices" (18 kb
pdf) (DN 900 which is available in E-Forms);
- All households
with individuals of childbearing age must be made aware of the opportunity
they have to receive family planning services and must be given a brochure
entitled "Family Planning-Choosing Your Family Size," or "Family Planning Program" (05-100-25);
- All households
with individuals under the age of twenty-one must be made aware of the
availability of "North Dakota Health Tracks"
(early and periodic screening, diagnosis and treatment services) and be
given the brochure entitled "ND Health Tracks" (05-100-30);
and
- All households
with pregnant, breast feeding or postpartum women, or children under age
five, must be made aware of the availability of the WIC
(Women, Infants, and Children) Program, and must be provided a "WIC"
outreach brochure (05-100-35).