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Kentucky Dual Eligible Certification Report (Map-34) The Kentucky Dual Eligible Certification report (MAP-34) is used when billing Medicaid for patients also eligible for Medicare services. A document type of MAP-34 can be added in the Patient file Docs tab with a due date set for one year ahead, as this document must be signed and submitted once per year for dually eligible Medicaid patients. The Box 2 text can be updated by the user. Go to Patient > Admit/Maintain, then the Docs Tab
Click 'Print', select the Kentucky Dual Eligible Certification option and then 'Preview' or 'Print.' Sample document:
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