Medicaid Providers can order Medical Assistance forms via the Medical Assistance Provider Forms page on the Department of Human Services website. All Medical Assistance forms can be found in Form Search.
The CMS-1500 (HCFA-1500) claim form can be purchased from several different vendors, including the U.S. Government Printing Office at 202-512-1800 or the American Medical Association Unified Service Center at 800-621-8335. The form can also be purchased via the CMS Forms website.
The American Dental Association Version 2024 claim form can be purchased by calling the ADA at 800-947-4746 or visiting the ADA Online Catalog.
The UB-04 claim form can be purchased by calling the Standard Register Company. The telephone number can be found in the yellow pages of your telephone directory. The UB-04 can also be purchased online at various websites.