Form MAP-005 Epsdt Dental Evaluation Form - Kentucky

What Is Form MAP-005?

This is a legal form that was released by the Kentucky Department for Medicaid Services - a government authority operating within Kentucky. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

• Released on March 1, 2008;
• The latest edition provided by the Kentucky Department for Medicaid Services;
• Easy to use and ready to print;
• Quick to customize;
• Compatible with most PDF-viewing applications;
• Fill out the form in our online filing application.

Download a printable version of Form MAP-005 by clicking the link below or browse more documents and templates provided by the Kentucky Department for Medicaid Services.