| Profile # |
Description |
| 76 |
IM FS/MA Allocated (PDF, 33 KB) |
| 103 |
W-2 Funeral & Cemetery (PDF,
18 KB) |
| 104 |
Non W2 Funeral & Cemetery (PDF,
18 KB) |
| 105 |
Funeral/Cemetery - W2 & Non W2 (PDF,
15 KB) |
| 131 |
MA Transportation Contract/Conveyance
(PDF, 14 KB) |
| 132 |
MA Transportation Administration (PDF,
14 KB) |
| 230 |
FSET Admin 100% Fed Suppl (PDF, 16 KB) |
| 231 |
FSET Admin GPR/Fed Base (PDF, 16 KB) |
| 232 |
FSET Admin 50% local match to fed (PDF, 11 KB) |
| 233 |
FSET Transp GPR/Fed Base (PDF, 15 KB) |
| 234 |
FSET Transp 50% local match to fed (PDF, 11 KB) |
| 235 |
FSET Retent GPR/Fed Base (PDF, 15 KB) |
| 236 |
FSET Retent 50% local match to fed (PDF, 11 KB) |
| 283 |
IMAA State Share (PDF, 14 KB) |
| 284 |
IMAA Federal Share (PDF, 15 KB) |
| 291 |
Medicaid Subrogation Collections (PDF,
15 KB) |
| 908 |
Liquidated Damages for Non Compliance (PDF, 15 KB) |
| 909 |
Voluntary Medical Refunds (PDF,
18 KB) |
| 977 |
Agency Travel Reimburse (PDF,
14 KB) |
| 9050 |
Agency Prevent Error Pen (PDF,
15 KB) |
