2018 | 2010 | 2002 | 1994 |
2017 | 2009 | 2001 | 1993 |
2016 | 2008 | 2000 | 1992 |
2015 | 2007 | 1999 | 1989 |
2014 | 2006 | 1998 | 1986 |
2013 | 2005 | 1997 | 1984 |
2012 | 2004 | 1996 | 1983 |
2011 | 2003 | 1995 | 1982 |
b. Who was covered?
Mark (x) "Public assistance" in person's column and "Cov" on HIS-1.
c. Anyone else?
b. Who was covered?
Mark (x) "Public assistance" in person's column and "Cov" on HIS-1.
c. Anyone else?
b. Who was covered?
Mark (X) "Public assistance" box in person's column.
c. Anyone else?
b. Who was covered?
Mark (X) "Public assistance" box in person's column.
c. Anyone else?
b. Who was covered
Mark "Other" box in person's column.
c. Anyone else?
b. Does -- now receive AFDC or ADC?
11a. Does anyone in the family now receive the "Supplemental Security Income" or "SSI" check?
b. Does -- now receive this check?
12a. There is a program called Medicaid that pays for health care for persons in need. (In this State it is also called (name).)
During the past 12 months, has anyone in this family received health care which has been or will be paid for by Medicaid (or (name))?
b. Has -- received this care in the past 12 months?
14a. Is anyone in the family now covered by any other public assistance program that pays for health care?
b. Is -- now covered?
b. Is -- now covered?
b. Is -- now covered?
b. Who is this? Mark "Other PA" box in person's column.
c. Anyone else?
b. Who is this? Mark "Other PA" box in person's column.
c. Anyone else?