WMPAA State Medicaid Employed Alumni ListServ

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PLEASE READ BEFORE PROCEEDING!!!

You must have been EMPLOYED BY A WMPAA STATE MEDICAID to complete this form. EMPAA and SAMPA states are NOT WMPAA.

Entries made by INDUSTRY people who have NEVER BEEN EMPLOYED BY A STATE MEDICAID WILL BE DELETED without notice.

Former WMPAA state members currently working for an organization who contracts with Medicaid cannot attend WMPAA as Alumni.

This is NOT a registration Form.

New Member or Updating Contact Information? *

New Member

Updating Contact Information

Remove from ListServ

First Name *

Last Name *

Personal Email Address (don't use work) *

WMPAA STATE MEDICAID(S) you used to work for (list all states)? *

Job Title(s) at your STATE MEDICAID job? *

Year(s) active with State MEDICAID(S) (i.e. ND 2000-2005, SD 1998-1999, etc.) *

Current Employer *

Current Job Title *

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