There is a program called Medicaid that pays for health care for persons in need. In this State it is also called (State name).
2a. In (month), was anyone in the family covered by Medicare?

b. Who was covered?
Mark (x) "Medicaid" in person's column and "Cov" on the HIS-1

c. Anyone else?

There is a program called Medicaid that pays for health care for persons in need. In this State it is also called (State name).
2a. In (month), was anyone in the family covered by Medicare?

b. Who was covered?
Mark (x) "Medicaid" in person's column and "Cov" on the HIS-1

c. Anyone else?

3a. In (month), was anyone in the family covered by Medicaid?

b. Who was covered?
Mark (X) "Medicaid" box in person's column.

c. Anyone else?

3a. In (month), was anyone in the family covered by Medicaid?

b. Who was covered?
Mark (X) "Medicaid" box in person's column.

c. Anyone else?

2a. (In (month), was anyone in the family covered by) Medicaid or (local name)?
Read if necessary: Medicaid or (local name) is a public assistance program that pays for medical care.

b. Who was covered
Mark "Medicaid" box in person's column.

c. Anyone else?

2a. (In (month), was anyone in the family covered by) Medicaid or (local name)?
Read if necessary: Medicaid or (local name) is a public assistance program that pays for medical care.

b. Who was this?
Mark "Medicaid" box in person's column.

c. Anyone else?

2a. (In (month), was anyone in the family covered by) Medicaid or (local name)?
Read if necessary: Medicaid or (local name) is a public assistance program that pays for medical care.

b. Who was this?
Mark "Medicaid" box in person's column.

c. Anyone else?