Documents
Availability
English PDF: Form H1200-MBI
Spanish PDF: Form H1200-MBI-S
Instructions
English and Spanish forms can be found under the title "Form to apply for Medicaid for People with Disabilities Who Work – Medicaid Buy-In (H1200-MBI)".
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English PDF: Form H1200-MBI
Spanish PDF: Form H1200-MBI-S
English and Spanish forms can be found under the title "Form to apply for Medicaid for People with Disabilities Who Work – Medicaid Buy-In (H1200-MBI)".