%PDF-1.5 % 57 0 obj <> endobj 71 0 obj <>/Filter/FlateDecode/ID[<3862D7211EB932498476F1141B6394A5><7C9DD5E59079314CBCD680CAFBA07874>]/Index[57 51]/Info 56 0 R/Length 75/Prev 16587/Root 58 0 R/Size 108/Type/XRef/W[1 2 1]>>stream hbbd``b`Z $S c^0fX JR@: L ',ơAgx f w endstream endobj startxref 0 %%EOF 107 0 obj <>stream hb``a``Z3P#0p4 @1;"aD8a 4 'fl`"̨ ` endstream endobj 58 0 obj <>/Metadata 2 0 R/PageLayout/OneColumn/Pages 55 0 R/StructTreeRoot 6 0 R/Type/Catalog>> endobj 59 0 obj <>/Font<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 60 0 obj <>stream hX[o+T^R9 EsrD[D$8R4-Y ɐ;;~\+&,* S3ov昉yϜ-( I- I I- I# I qeK =hY9D dJ`õ43DÜ'wg) `%N#!3` Ŝq, s 8zs &M% IERR2)TR@Q~8sqvomU5y)>1UraUgPͺKjãL{%f*.ݬTs/i^J00KXVI.E2 u;l@Bop-Q#jBa-"*.w1\B[gyz e7Y(#bk͆0&((c,5PƴAx_֡HAX y$(`U I+%3 p:5"Fy` .2#5jڡ dh/yόj^=.q긆/КTꘆsմ*Ra_ZG4:ý*IX`Gi; ^o^>+jhċR}+^V*N*P/˛jR7vybm SB pErU/~XهfU"rUduqr,>vWuE٬% }Jś\ֳͲbЏ]m\ofS߉J)Vc=kTOm=כ{(75ڄ5~[3"\8<%h,/|$rH}HP=;![W?1|$gEc\|Z(mdT6e>O6'ʻE\qЅͺ9ٚSsayK+`3qq bڞv\|w}R#۔q Sss(w2.{qqDR>!O7#v;ܺ =Ƿ|+h*}~?~]k7LeB@[oȘVAq"Zbw\ OA'2NoA85N'hkH0FkD ͓8x&ߛ~F|lVv 9A*,T"QE{%QG0`I*+CznJFs0'xp Qh||룦 Hc)O;^G:!p,9†Pgg,"I: ap~\IFōiESp8h9Ptm^O{K"@Þ~ X\ C?<4X')uPP?a"R{z.D??AquE|[^nlMiK9Uw]6_ky\_.Op\|Yz=h>V:z5?{xo=_sveWߵۦ|lN۶zV/P.Nj]]d a/YɛMgr*%VW#m[fj,ZNҹQEU.М'E}\ʆ.(+۾j !` endstream endobj 61 0 obj <>stream H|TMo0 W( ,YbE6;[C[5 mDɉn[D>Rοe>N@d ٍLb{_9S&Th@YP,]*YHYKvf\,k51t31X"Z0B3\XˍF06应#`k^i ǫUMxԈ~7B~ H Sq)qE 8^CJk[wA7JY:cϬuYt-wY;I1G>(J)텈E< D -=y?"M,'#{@v\Xf5D[GsNl#g-g-@ 9uU=p2TLxd2RW^px-Ы^sgo! Złp~>Ĥ8ǹ9#ac@F<U?8?6}(0Qr < ]CKiK7bW<{^m?㙦?Cqj٫L!F.|Q`6nu=WRdP g0'6s c,< endstream endobj 62 0 obj <>stream Hn0 ~ CJe{( nt@|+v0\gAۏ"cI+z(UU U-ۺt _\4>2Hj>tC~rm_ =,'Ӣ6H<EFBP|aLӈhB2r^e⟝2(E7՝"q浓;~tFojKw#$ڷwycyŤ6Qa wr VŎ@jRXluӴUT={D_O̾c(v9 `(PoS:uaV[0BCR#-%ڎ\+ojiv 5Ke77 /D 7oTR k'iZX iJl2Bw[Rȃ!y s0H+؈&NA'tΤAM,ءv$ƆOsZ-uCw!`(R endstream endobj 63 0 obj <>stream H|Tr0+(,Kdl&iC8f:oЃk;)-&$V2BzAvg=H}EJC,qk!0Pn"Mgops&_AYd,P"JyD 展^W<i`{g 3`]X{5ÒNNӛAKc5RJ`6B2-GT-(-gqOluY`/<55&6<ǰ}ƪH=n 9 QOJ""ψϸvfX %RrU4Ya> 5~fۭ4PO>s[jY!sx(z# yXuO:dvFG{#D ȵv_Q$Y7uŝt~D[UGY5eJbdO+o6ԖJ AԧewUwb_J'x sB $k/Mʕ(ํ}GɪZqA\)2΂Myc p_-Ȑj>gH<\8( endstream endobj 64 0 obj <>stream HTn0 +x)E(Ц]ԷtI7k4)ڋ$;"R"H>.9BvdA@ҹ8M Kn~dh,qvMB)`bn g0[1Y~7 Zqn]e"IӢ72eI8?/AQ35Bp%r'(~@AH-,ڎ0rklgvrsBu(Au:$ڵLm>eP(PB\TJȟ Q^VC@=O a.Nئr>ûeHu&ƅtT#W:L7H|Juy_`5qQoxkjs,6%‹wH0"psLY%]qqlVtY8q->0?W@]jv{ Ƒ"$ot)3;dF@3 >҉hG{utV;_1mtyzL3Gޯf^{ϝ3?;Kmc\"ٵ2Og'opp6t1V$=cI*`$F endstream endobj 65 0 obj <>stream H|Tn1}߯GH IFI[)+!pi( HDx*Bcf>#g+0DlLB>-htqLL$qZ3άyx[:>w-hW]4dKGqI4GP@}0DT:ǡJt K`Vc4F(|$H (B0j]<$lT>stream H|Mo0 < $]%aÂ/CCफ1tE*K.AӢDիǩ [U<|$O 4[3ۦ "tuߠTfy>0Bz2 F enKL`>cA|Ϻb/w\;ZZJLc!cXy,ڪ q5eK*(9l(q}?(\hP 4UԞIˉHεem1ڄ'OT40IT.$ W(+ endstream endobj 67 0 obj <>stream HSKo0 W($a+Pд 0v(vp\8A5(4[vC_,_̿^BQťϯ%{I}gO*.Jnȁ2eWZ (3 Oԅ: h~a d" k[Y_uDrUg'0fsQgK,"ע *Zszoǂ,t&p,4,b5xZ+`ylF L<܆n:"y˽۷x;CYYRbe`ewDd*118K<kBe%@ o@oȂ"ICh&n~/iC9=y/ h0MD,/큖bXSȄ?8Kt/${ٸ3ʄnӅ}]8rR ΘcIIUD:MQQQ[ǖ41iИ6enY;)TP(z"N<񠢤j`s~S߾'+' endstream endobj 68 0 obj <>stream HlSMo0 Wh"ٖEM{ذ[g+k 6(n!K#e :}zekHwT YB VK Xc4^۟ѿSN7~Pڻ*JJ1{J} [s 9a沾4m2v>FNjpXbH Z>XR?r 6!L`(auRYMdK sk !;y\. }_p{;[.>+!n20$2_>+҄<[UTȎ/;J5}9\6l.3vqܸGiN%奙D ?deCHG̞pV؍ (aY`y'9d4sȫRW (.!{ALq?[V3WPMi){WBAW-n9S%~+P ,EAy"#|B"yu':tg0D8d>#>d xvE,< { endstream endobj 69 0 obj <>stream Hb``$WR~  |@T # 2 S/`M.(*(%8H8c- fԉd9@6_IjH9(3=DR1%?)U!$5X3/9 ($5j%V*'&*r"(,!!0b;CҢ2(ɘ I8/ endstream endobj 70 0 obj <>stream HyTSwoɞc [5laQIBHADED2mtFOE.c}08׎8GNg9w߽'0 ֠Jb  2y.-;!KZ ^i"L0- @8(r;q7Ly&Qq4j|9 V)gB0iW8#8wթ8_٥ʨQQj@&A)/g>'Kt;\ ӥ$պFZUn(4T%)뫔0C&Zi8bxEB;Pӓ̹A om?W= x-[0}y)7ta>jT7@tܛ`q2ʀ&6ZLĄ?_yxg)˔zçLU*uSkSeO4?׸c. R ߁-25 S>ӣVd`rn~Y&+`;A4 A9=-tl`;~p Gp| [`L`< "A YA+Cb(R,*T2B- ꇆnQt}MA0alSx k&^>0|>_',G!"F$H:R!zFQd?r 9\A&G rQ hE]a4zBgE#H *B=0HIpp0MxJ$D1D, VĭKĻYdE"EI2EBGt4MzNr!YK ?%_&#(0J:EAiQ(()ӔWT6U@P+!~mD eԴ!hӦh/']B/ҏӿ?a0nhF!X8܌kc&5S6lIa2cKMA!E#ƒdV(kel }}Cq9 N')].uJr  wG xR^[oƜchg`>b$*~ :Eb~,m,-ݖ,Y¬*6X[ݱF=3뭷Y~dó ti zf6~`{v.Ng#{}}jc1X6fm;'_9 r:8q:˜O:ϸ8uJqnv=MmR 4 n3ܣkGݯz=[==<=GTB(/S,]6*-W:#7*e^YDY}UjAyT`#D="b{ų+ʯ:!kJ4Gmt}uC%K7YVfFY .=b?SƕƩȺy چ k5%4m7lqlioZlG+Zz͹mzy]?uuw|"űNwW&e֥ﺱ*|j5kyݭǯg^ykEklD_p߶7Dmo꿻1ml{Mś nLl<9O[$h՛BdҞ@iءG&vVǥ8nRĩ7u\ЭD-u`ֲK³8%yhYѹJº;.! zpg_XQKFAǿ=ȼ:ɹ8ʷ6˶5̵5͵6ζ7ϸ9к<Ѿ?DINU\dlvۀ܊ݖޢ)߯6DScs 2F[p(@Xr4Pm8Ww)Km endstream endobj 1 0 obj <>stream hޔ]o6 /!)@aR`kqzUBID+ 4~/ҹk%0įssH$0,s9`i+IsL  0L,t[tCFpc%CxY  I|pA\IxХR"XLQL bn!5xks0 9%#I o @ RS"!$iL#%¤ B )ԳJcz4x v÷ u؈ӎ{qK<8ΛM`a "2ScA'wQbRSXI-IL"P%IMgR'ew|ݧY_?y eo~#38TPA¡J1Gr5k$k*:sy9 8ݡingݾ<=W4q}i3LMiS?YQ}T:csU*W\MMMU 0ʳ endstream endobj 2 0 obj <>stream 2020-08-04T13:23:04-04:00 2020-08-04T13:23:04-04:00 2020-08-04T13:23:04-04:00 Acrobat PDFMaker 17 for Word uuid:d9df0e0c-c10b-440e-9fd1-08edaaa1320b uuid:bdf801b7-79a8-473f-ad7d-3fa90cac9be4 2 application/pdf STATE REFERRAL CONTACT SHEET: CMS_DU Adobe PDF Library 15.0 D:20200803224004 CMS endstream endobj 3 0 obj <>stream h25U0Pw/+Q0L)6 T$ endstream endobj 4 0 obj <>stream h|AK04_NfxXh#G|à.RG<,arJo!O *|~|lDE(WXz2!ZNG8!:g1i0M3{dS);A5b͸郊H;ur`2?im֌tUcv#KIM[ endstream endobj 5 0 obj <>/Filter/FlateDecode/ID[<3862D7211EB932498476F1141B6394A5><7C9DD5E59079314CBCD680CAFBA07874>]/Info 56 0 R/Length 50/Root 58 0 R/Size 57/Type/XRef/W[1 2 1]>>stream hbb&F L ,@B@H0 F]3qdL#@{y endstream endobj startxref 116 %%EOF 2 0 obj <>stream 2020-08-04T13:26-04:00 2020-08-04T13:23:04-04:00 2020-08-04T13:26-04:00 Acrobat PDFMaker 17 for Word uuid:d9df0e0c-c10b-440e-9fd1-08edaaa1320b uuid:0a2c4504-d9bc-4f8e-81fc-b9fc2af985bf 2 application/pdf State Referral Contact Sheet CMS_DU Adobe PDF Library 15.0 D:20200803224004 CMS endstream endobj 108 0 obj <> endobj 109 0 obj <>/Filter/FlateDecode/ID[<3862D7211EB932498476F1141B6394A5><854A265D4E7D554BADE5B542AF5D7F4F>]/Index[2 1 108 2]/Info 108 0 R/Length 22/Prev 116/Root 58 0 R/Size 110/Type/XRef/W[1 2 0]>>stream hbbt (`  endstream endobj startxref 21042 %%EOF 2 0 obj <>stream 2020-08-04T14:25:29-04:00 2020-08-04T13:23:04-04:00 2020-08-04T14:25:29-04:00 Acrobat PDFMaker 17 for Word uuid:d9df0e0c-c10b-440e-9fd1-08edaaa1320b uuid:23be6757-5eee-4ead-8e76-e86b4d069d91 2 application/pdf State Medicaid Referral Contact Sheet CMS_DU Adobe PDF Library 15.0 D:20200803224004 CMS endstream endobj 110 0 obj <> endobj 111 0 obj <>/Filter/FlateDecode/ID[<3862D7211EB932498476F1141B6394A5>]/Index[2 1 110 2]/Info 110 0 R/Length 22/Prev 21042/Root 58 0 R/Size 112/Type/XRef/W[1 2 0]>>stream hbb Ncbgb`T0 endstream endobj startxref 25525 %%EOF