LCD Alert Form


LCD Request and LCD Alert Process:

    1. PA IEB will dispatch an LCD Request form to the AAA.

    2. Upon receipt of the LCD Request and completion of the LCD, the AAA will enter the applicant's information on the LCD Alert Form to notify PA IEB the completed LCD is available for retrieval in SAMS.

    3. AAA will send completed LCD Alert Form to ieb-paencryptionbox@maximus.com with "LCD Alert List" in the subject line.

    4. PA IEB will retrieve the completed LCD from SAMS and process the application to the next steps.

Note: Please do not include individuals on the LCD Alert Form unless PA IEB initiated a request. To make a referral please utilize the Referral Form.


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