Form H1228-A, Medicaid for the Elderly and People with …
Form H1228-A, Medicaid for the Elderly and People with Disabilities -- Application Information Instructions for Opening a Form Some forms cannot be viewed in a web browser and must be opened in Adobe Acrobat Reader on your desktop system. Click here for instructions on opening this form. Documents Effective Date: 10/2018 h1228-a.pdf (110.87 KB)