FAQ: Forms, Invoices, and Handbooks

All Medical Assistance forms may be ordered via the Medical Assistance Forms page on the Department of Human Services website.

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 2006 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.