MCHIP Transitional Disenrollment Activity Report (COPS-51)
A monthly summary of medical and dental disenrollment transactions processed for transitional beneficiaries with an aid code of 5C or 5D by reason, county and plan. This is a monthly report with the data range specified in report.
NOTE: Report links on this page are documents in Adobe Acrobat Portable Document Format (PDF); unless indicated are smaller than 2 MB. PDF documents require Adobe Reader. If you need to install or upgrade to the latest version, see the "Download Free Readers" link at the bottom of the page.
Last modified on:
9/17/2014 3:01 PM