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src=images/gen/bnr_right.jpg width=245></table><span id=Header1_provDisplay style=display:none;> <table border=0 cellpadding=0 cellspacing=0><tbody><tr><td background=/epaces/images/gen/bnr_user_green.jpg class=sideNav height=24 valign=top width=779><table border=0 cellpadding=0 cellspacing=0><tbody><tr><td background=/epaces/images/gen/spacer.gif colspan=2><img alt height=3 src=/epaces/images/gen/spacer.gif width=779><tr><td background=/epaces/images/gen/spacer.gif><img alt src=/epaces/images/gen/spacer.gif width=8><td background=/epaces/images/gen/spacer.gif width=779><span class=providerName id=Header1_spanTitleProvider style=display:none;> No Provider Selected </span></table><td width=100%> <table border=0 cellpadding=0 cellspacing=0 width=100%><tbody><tr><td class=providerNameGreen><img alt height=24 src=/epaces/images/gen/spacer.gif width=1></table> </table> </span></div><table border=0 cellpadding=0 cellspacing=0 width=100%><tbody><tr><td valign=top><div><link 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                                            background-repeat: no-repeat"class=sideNav height=86 valign=top width=640><table border=0 cellpadding=0 cellspacing=0><tbody><tr><td><td class=errorText width=606><tr><td><img alt height=10 src=images/gen/spacer.gif width=93><td valign=top><table border=0 cellpadding=0 cellspacing=0><tbody><tr><td><img alt height=10 src=images/gen/spacer.gif><tr><td class=sideNavLabel>Username:<tr><td><img alt height=3 src=images/gen/spacer.gif><tr><td><input class=inputText id=Username maxlength=8 name=Username onchange=javascript:validate(this) size=13><tr><td><img alt height=8 src=images/gen/spacer.gif><tr><td class=sideNavLabel>Password:<tr><td><img alt height=3 src=images/gen/spacer.gif><tr><td><input autocomplete=off class=inputText id=Password name=Password size=13 type=password><tr><td></table></table><tr><td><img alt height=10 src=images/gen/spacer.gif><tr><td><table border=0 cellpadding=0 cellspacing=0><tbody><tr><td><img alt height=10 src=images/gen/spacer.gif width=93><td class=loginText width=440><b> Please Note: </b> Medicaid recipient level data is confidential and is protected by state and federal laws and regulations. It can be used only for the purposes directly connected to the administration of the Medicaid program. You are required to read, understand and comply with these regulations. There are significant state, civil and federal criminal penalties for violations. <br> <a href=MedConfidentialityReg.aspx> View Medicaid Confidentiality Regulations. </a><tr><td><img alt height=10 src=images/gen/spacer.gif width=93><td><img alt height=10 src=images/gen/spacer.gif><tr><td><img alt height=10 src=images/gen/spacer.gif width=93><td class=loginText><input id=chkbxAgree name=chkbxAgree type=checkbox> <b> I have read and I agree to the Medicaid Confidentiality Regulations </b><tr><td><img alt height=10 src=images/gen/spacer.gif width=93><td><img alt height=10 src=images/gen/spacer.gif><tr><td><img alt height=10 src=images/gen/spacer.gif width=93><td><input alt=Agree/Login border=0 id=btnAgreeLogin name=btnAgreeLogin src=images/buttons/btn_agreelogin_w.gif type=image> <img alt src=images/gen/spacer.gif width=7><tr><td><img alt height=10 src=images/gen/spacer.gif width=93><td><img alt height=10 src=images/gen/spacer.gif><tr><td><img alt height=10 src=images/gen/spacer.gif width=93><td class=copyright>If you are having trouble logging in please call 800-343-9000.</table><tr><td><img alt height=40 src=images/gen/spacer.gif><tr><td><table border=0 cellpadding=0 cellspacing=0><tbody><tr><td><img alt src=images/gen/spacer.gif width=10><td class=copyright>Â© 2002 State of New York. <a rel="noopener noreferrer"href=http://www.health.state.ny.us/nysdoh/privacy.htm target=_blank> Privacy Policy </a></table></table></table></div></table><div><link href=../css/fontspecs.css rel=stylesheet><span class=sideNavLink id=Footer1_spanBVMC> -003-4:39:31 PM </span></div></form><script language=javascript>function validate(sender) {
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