23-1, Miscellaneous Changes

Revision 23-1; Effective March 31, 2023

The following change(s) were made:

Revised	Title	Change
4100	Eligibility and Assessment of Copay and Fees	Updates form names.
4300	Procedures and Terminology When Determining Epilepsy Eligibility	Updates form names.
Appendices	Appendices	Updates Appendix I title.
Appendix I	Appendix I, Epilepsy Program Definition of Income	Revises appendix title.
Appendix II	Appendix II, Optional Copay Table Based on Monthly Federal Poverty Level (FPL)	Revises appendix title and updates Fiscal Year 2023 Worksheet to reflect FPL changes.
Forms	Forms	Updates forms. Replaces Form 3029 with Form 3094.
EEPM Contact Us	EPPM Contact Us	Updates program email.