Department of Budget and Management

**Please note that your answers on the supplemental questionnaire must correspond to the information provided on your application to receive credit. Applications that do not include a completed supplemental questionnaire will be considered incomplete and may be subject to disapproval.**

Describe your knowledge and experience with the Medical Care Program's policies, procedures, and regulations as it applies to Managed Care Organizations.

Please include name of employer, job title, dates of employment, and hours worked per week, this information must also be reflected in your application.  If you do not possess experience in this area, put N/A in the box below.

Describe your knowledge and experience with third party liability programs through which other sources of payments for Medical Assistance recipient's health care are discovered and monies spent on behalf of the recipient is recovered from sources allowed by federal and state law.

Please include name of employer, job title, dates of employment, and hours worked per week, this information must also be reflected in your application.  If you do not possess experience in this area, put N/A in the box below.