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Get Income Limit For Alabama Medicaid

SIGN ON BACK Form 236 Revised 1/20/95 Alabama Medicaid Agency Public Law 97-248 effective November 1 1982 provides for the exclusion from resources of burial spaces which are intended for the use of the individual his/her spouse or any other member of his/her immediate family. ALABAMA MEDICAID AGENCY STATEMENT OF CLAIMANT OR OTHER PERSON BURIAL FUND DESIGNATION Name of Claimant Social Security Number Name of Person Making Statement if other than .

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