Common use of Medical / Medicaid Waiver Information Clause in Contracts

Medical / Medicaid Waiver Information. Yes No In process of applying ID #: Does Beneficiary receive Medicaid Benefits (OHP)? Yes No In process of applying ID #: Does Beneficiary receive Medicare Benefits (A, B, C or D)? Does Beneficiary receive Brokerage Services? Yes No In process of applying Phone Number: Email Address: Does Beneficiary receive Comprehensive Services? Yes No In process of applying Phone Number: Email Address: