What you need to know about reporting as an Attorney. This option is for an attorney that represents an injured Medicaid/OHP or TANF recipient or a Tortfeasor. The Submitter can be the Attorney or an employee of the Attorney. They will be the person we contact if we have questions, and they will receive the confirmation email after this form is submitted.
Why do we need your email address?
An email address is required because we send you a confirmation email that your submission has been received.
For security reasons, your session will timeout in: . Press OK to extend your session.
