IRIS Disenrollment Letter - Cancelled
Total Page：16
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Date
Name Address City, State, Zip Code
re: IRIS Program – Disenrollment Cancelled MA ID: MA ID #
Dear Participant’s Name,
Our records indicate that you are/were scheduled to be disenrolled from the IRIS program on Date. This disenrollment date has been cancelled for the following reason(s): Reason for disenrollment cancellation.
This means that you will continue to receive goods and services funded by the IRIS program. Please disregard the disenrollment date listed in previous correspondence.
If you have questions about this letter, please contact your IRIS Consultant. If you do not have their contact information, you may contact the IRIS Call Center at: 1-888-515-4747.
Sincerely,
Jody Brassfield Section Chief – Office of IRIS Management cc: ADRC County Human Services Department – Income Maintenance Office Fiscal Employer Agent