| Primary | [field-value] | Assistance Unit | [field-value] |
|---|---|---|---|
| Decision | [field-value] | Coverage Period Start Date | [parameter-value] |
Medically Needy Long Term Care with Spend Down
| Primary | [field-value] | Assistance Unit | [field-value] |
|---|---|---|---|
| Decision | [field-value] | Coverage Period Start Date | [parameter-value] |