This government document is issued by Bureau for Medical Services for use in West Virginia
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https://www.google.com/url?client=internal-element-cse&cx=007317577438028001491:f-xcusnnokg&q=https://dhhr.wv.gov/bms/Programs/WaiverPrograms/CSEDW/Documents/CSED-14%2520POC%2520Form%252010.2024.pdf&sa=U&ved=2ahUKEwjw75nQ3dmMAxUb0gIHHYYaFHs4UBAWegQIBRAB&usg=AOvVaw3RGGaTjPpmhyR2O7Igj1_k