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?

4a. In (month), was anyone in the family covered by any OTHER public assistance program (other than Medicaid) that pays for health care? (Do NOT include use of public or free clinics if that is the ONLY source of care.

b. Who was covered?
Mark (x) "Public assistance" in person's column and "Cov" on 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 Medicaid?

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

c. Anyone else?

4a. In (month), was anyone in the family covered by any OTHER public assistance program (other than Medicaid) that pays for health care? (Do NOT include use of public or free clinics if that is the ONLY source of care.

b. Who was covered?
Mark (x) "Public assistance" in person's column and "Cov" on 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. Does anyone in the family NOW have a Medicaid or (state name) card?

b. Who is this?
Mark (X) "Has Card" box in person's column.

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. Does anyone in the family NOW have a Medicaid or (state name) card?

b. Who is this?
Mark (X) "Has Card" box in person's column.

c. Anyone else?