Notices of Dismissal State Hearing Scheduling Notice JFS 01704 Notice of Proposed Enrollment in the Coordinated Services Program (CSP) by ODJFS or by Your Managed Care Plan (MCP) JFS 01705 Notice of Continued Enrollment in the Coordinated Services (CSP) by ODJFS or by Your Managed Care Plan (MCP) JFS 01706 Notice of Denial of Designated Provider or Pharmacy Change in the Coordinated Services (Program) by ODJFS or by your Managed Care Plan (MCP) JFS 01711 Notice of Denial of Your Request to Terminate Membership in Your Managed Care Plan for "Just Cause" JFS 04002 Notice to Appear for Scheduled Hearing JFS 04003 Administrative Appeal Request JFS 04004 State Hearing Request Denial Notice JFS 04005 State Hearing Decision JFS 04006 Subpoena Notice to Appear JFS 04007 Administrative Disqualification Hearing Decision JFS 04010 Insufficient Good Cause Notice JFS 04013 Administrative Appeal/County Review Decision JFS 04014 Notice Dismissing a County Review Request JFS 04015 Notice Dismissing Your Administrative Appeal Request JFS 04019 Notice of Abandoned Hearing JFS 04020 Notice to Appear for a Mediation Scheduling Conference JFS 04025 Important Notice About Your Welfare Benefits JFS 04026 Waiver of Administrative Disqualification Hearing JFS 04027 Disqualification Consent Agreement JFS 04028 Record Left Open Notice JFS 04029 Postponement/Reschedule Request Denial Notice JFS 04030 Notice of Withdrawal JFS 04043 Notice of Denial, Reduction or Termination of Medical Services by Your Managed Care Plan JFS 04044 Intentional Program Violation Dismissal Notice JFS 04046 Notice of Denial of Payment for Medical Services by Your Managed Care Plan JFS 04058 Explanation of Administrative Disqualification Hearing Procedures JFS 04059 Explanation of State Hearing Procedures JFS 04060 Referral for Administrative Disqualification Hearing JFS 04061 Notice to Appear for an Administrative Disqualification Hearing JFS 04062 Notice of Disqualification for Intentional Program Violation JFS 04064 Notice to Appellant JFS 04065 Prior Notice of Right to a State Hearing JFS 04066 Notice of Reduction, Suspension, or Termination of Medical Services by Your Managed Care Plan JFS 04067 Appeal Summary JFS 04068 Order of Compliance Notice JFS 04069 State Hearing Request JFS 04071 Notice About Your Request for a Compliance Review JFS 04072 Reschedule Request Not Timely Denial Notice JFS 04073 Subpoena Request Denial Notice JFS 04074 Notice of Approval of Your Application for Assistance JFS 04075 Compliance Rejection Notice JFS 04076 Resource Assessment Worksheet JFS 04077 Resource Transfer Worksheet JFS 04078 Monthly Income Allowance Computation Worksheet JFS 04085 Prior Notice of Right to a State Hearing JFS 04086 Comprehensive Case Management and Employment Program Appeal Summary JFS 07107 Notice of Interim Assistance Reimbursement JFS 07235 Action Taken On Your Request for Replacement Food Stamp Benefits JFS 07332 Notice of Denial of Your Application for Medicaid: In Cases Involving Community Spouses JFS 07334 Notice of Denial of Your Application for Assistance ODHS 7205 Follow-Up Demand Letter For Repayment of Overissuance ODHS 7401 Notice of Eligibility, Denial and Pending Status
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