| VHCURES Data Linkage Request |
VHCURES Data Linkage Request Rev_20180725.pdf
(398.87 KB)
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Form |
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PDF |
| State Agency DUA Renewal Request |
State Agency DUA Renewal Request Rev_20180725.pdf
(205.69 KB)
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Form |
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PDF |
| Publication Review Resuest |
Publication Review Request Rev_20180725.pdf
(210.46 KB)
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Form |
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PDF |
| Analytic and Information Services Request |
Analytic and Information Services Request Rev_20180725.pdf
(185.49 KB)
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Form |
|
PDF |
| State agency DUA Application process |
2018_0619_DUAFlow_State_Agency.pdf
(179.05 KB)
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PDF |
| DUA Application Process for a non-state entity |
2018_0619_DUAFlow_NonStateEntity.pdf
(210.74 KB)
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|
PDF |
| MOU for Medicaid Data Use and Disclosure |
GMCB.MOU 03410-01-17.MOU-DUA.Signed_Copy.pdf
(778.53 KB)
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PDF |
| VHCURES Schedule of Available Data |
VHCURES File Specification Schedule of Available Data_Rev 2018-0103.pdf
(218.72 KB)
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Form |
|
PDF |
| Individual User Affidavit |
Individual User Affidavit Rev_20180725.pdf
(94.51 KB)
|
Form |
|
PDF |
| DUA Term Extension Request |
DUA Term Extension Request Rev_20180725.pdf
(207.28 KB)
|
Form |
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PDF |
