Qualified entities provided with application forms and

Ind. Code § 12-15-2.3-5, under Chapter 2.3. Presumptive Eligibility for Women With Breast or Cervical Cancer.

Ind. Code § 12-15-2.3-5

information Sec. 5. The office shall provide each qualified entity with the following: (1) Application forms for Medicaid. (2) Information on how to assist a woman described in section 1 of this chapter in completing and filing the application forms. As added by P.L.152-2001, SEC.3.