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@@ -1,3 +1,6 @@
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+<?php
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+$medicaidStates = Config::get('constants.medicaid_states');
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+?>
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<div id="new-coverage-form-{{$patient->uid}}">
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<div class="p-3">
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<form :url="url" class="mcp-theme-1" @submit.prevent="submitForm">
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@@ -144,62 +147,9 @@
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<input class="form-control input-sm" list="mcdPayer" name="mcdPayerUid" id="mcdPayerUid">
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<datalist id="mcdPayer">
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<option value="">--</option>
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- <option>MEDICAID ALABAMA</option>
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- <option>MEDICAID ALASKA</option>
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- <option>MEDICAID ARIZONA</option>
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- <option>MEDICAID ARKANSAS</option>
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- <option>MEDICAID CALIFORNIA MEDI-CAL</option>
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- <option>MEDICAID COLORADO</option>
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- <option>MEDICAID CONNECTICUT</option>
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- <option>MEDICAID DELAWARE</option>
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- <option>MEDICAID DISTRICT OF COLUMBIA</option>
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- <option>MEDICAID FLORIDA</option>
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- <option>MEDICAID GEORGIA</option>
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- <option>MEDICAID HAWAII</option>
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- <option>MEDICAID IDAHO</option>
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- <option>MEDICAID ILLINOIS</option>
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- <option>MEDICAID INDIANA</option>
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- <option>MEDICAID IOWA</option>
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- <option>MEDICAID KANSAS</option>
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- <option>MEDICAID KENTUCKY</option>
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- <option>MEDICAID LOUISIANA</option>
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- <option>MEDICAID MAINE</option>
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- <option>MEDICAID MARYLAND</option>
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- <option>MEDICAID MARYLAND DHMH</option>
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- <option>MEDICAID MASSACHUSETTS</option>
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- <option>MEDICAID MICHIGAN</option>
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- <option>MEDICAID MINNESOTA</option>
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- <option>MEDICAID MISSISSIPPI</option>
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- <option>MEDICAID MISSISSIPPI</option>
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- <option>MEDICAID MISSOURI</option>
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- <option>MEDICAID MONTANA</option>
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- <option>MEDICAID NEBRASKA</option>
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- <option>MEDICAID NEVADA</option>
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- <option>MEDICAID NEW HAMPSHIRE</option>
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- <option>MEDICAID NEW JERSEY</option>
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- <option>MEDICAID NEW MEXICO</option>
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- <option>MEDICAID NEW YORK</option>
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- <option>MEDICAID NEW YORK</option>
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- <option>MEDICAID NORTH CAROLINA</option>
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- <option>MEDICAID NORTH DAKOTA</option>
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- <option>MEDICAID OHIO</option>
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- <option>MEDICAID OKLAHOMA</option>
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- <option>MEDICAID OREGON</option>
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- <option>MEDICAID OREGON (DHS OMAP)</option>
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- <option>MEDICAID PENNSYLVANIA</option>
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- <option>MEDICAID RHODE ISLAND</option>
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- <option>MEDICAID SOUTH CAROLINA</option>
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- <option>MEDICAID SOUTH DAKOTA</option>
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- <option>MEDICAID TENNESSEE</option>
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- <option>MEDICAID TEXAS</option>
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- <option>MEDICAID TEXAS AND TEXAS HEALTH STEPS</option>
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- <option>MEDICAID UTAH</option>
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- <option>MEDICAID VERMONT</option>
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- <option>MEDICAID VIRGINIA</option>
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- <option>MEDICAID WASHINGTON (PROVIDER ONE)</option>
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- <option>MEDICAID WEST VIRGINIA</option>
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- <option>MEDICAID WISCONSIN</option>
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- <option>MEDICAID WYOMING</option>
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+ @foreach($medicaidStates as $state)
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+ <option>{{$state}}</option>
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+ @endforeach
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</datalist>
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</div>
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