Deductible (MAF-M) proxy box 20020/VS (MA- 3421) 4/20xx – 3/20xx (MA- 3300) February 2026 Customer 21+ 60TH day, hearing request date (MA-3430) AMED proxy box Customer and AR October, base period (MA-3300) DHB 5000 (MA- 3230) 4/20xx – 3/20xx (MA- 3300) x1 (MA- 3306) x4.3 (MA- 3306) Deductible (MAF-M) proxy box DHB 5003 (MA- 3430) x2 (MA- 3306) FFM-D (MA- 3200) March 2026 DHHS Website DHB 5000 (MA- 3230) x2.15 (MA- 3306) x4.3 (MA- 3306) Spinoff (MA- 3421) Application/IAA x1 (MA- 3306) x2.15 (MA- 3306) March 2026 Spinoff (MA- 3421) Feb, base period (MA- 3300) 60TH day, hearing request date (MA-3430) October, base period (MA-3300) Customer 21+ CSE (IV- D) policy (MA- 3365) DHHS Website Non countable income (MA-3300) x2 (MA- 3306) DHB 5003 (MA- 3430) 20020/VS (MA- 3421) Application/IAA R/C (MA- 3310) Feb, base period (MA- 3300) Countable income (MA- 3300) FCM2AMED@mecknc.gov FFM-D (MA- 3200) February 2026 R/C (MA- 3310) Customer and AR CSE (IV- D) policy (MA- 3365) Countable income (MA- 3300) Non countable income (MA-3300) Deductible (MAF-M) proxy box 20020/VS (MA- 3421) 4/20xx – 3/20xx (MA- 3300) February 2026 Customer 21+ 60TH day, hearing request date (MA-3430) AMED proxy box Customer and AR October, base period (MA-3300) DHB 5000 (MA- 3230) 4/20xx – 3/20xx (MA- 3300) x1 (MA- 3306) x4.3 (MA- 3306) Deductible (MAF-M) proxy box DHB 5003 (MA- 3430) x2 (MA- 3306) FFM-D (MA- 3200) March 2026 DHHS Website DHB 5000 (MA- 3230) x2.15 (MA- 3306) x4.3 (MA- 3306) Spinoff (MA- 3421) Application/IAA x1 (MA- 3306) x2.15 (MA- 3306) March 2026 Spinoff (MA- 3421) Feb, base period (MA- 3300) 60TH day, hearing request date (MA-3430) October, base period (MA-3300) Customer 21+ CSE (IV- D) policy (MA- 3365) DHHS Website Non countable income (MA-3300) x2 (MA- 3306) DHB 5003 (MA- 3430) 20020/VS (MA- 3421) Application/IAA R/C (MA- 3310) Feb, base period (MA- 3300) Countable income (MA- 3300) FCM2AMED@mecknc.gov FFM-D (MA- 3200) February 2026 R/C (MA- 3310) Customer and AR CSE (IV- D) policy (MA- 3365) Countable income (MA- 3300) Non countable income (MA-3300)
(Print) Use this randomly generated list as your call list when playing the game. There is no need to say the BINGO column name. Place some kind of mark (like an X, a checkmark, a dot, tally mark, etc) on each cell as you announce it, to keep track. You can also cut out each item, place them in a bag and pull words from the bag.
Deductible (MAF-M) proxy box
20020/VS (MA-3421)
4/20xx – 3/20xx (MA-3300)
February 2026
Customer 21+
60TH day, hearing request date (MA-3430)
AMED proxy box
Customer and AR
October, base period (MA-3300)
DHB 5000 (MA-3230)
4/20xx – 3/20xx (MA-3300)
x1 (MA-3306)
x4.3 (MA-3306)
Deductible (MAF-M) proxy box
DHB 5003 (MA-3430)
x2 (MA-3306)
FFM-D (MA-3200)
March 2026
DHHS Website
DHB 5000 (MA-3230)
x2.15 (MA-3306)
x4.3 (MA-3306)
Spinoff (MA-3421)
Application/IAA
x1 (MA-3306)
x2.15 (MA-3306)
March 2026
Spinoff (MA-3421)
Feb, base period (MA-3300)
60TH day, hearing request date (MA-3430)
October, base period (MA-3300)
Customer 21+
CSE (IV-D) policy (MA-3365)
DHHS Website
Non countable income (MA-3300)
x2 (MA-3306)
DHB 5003 (MA-3430)
20020/VS (MA-3421)
Application/IAA
R/C (MA-3310)
Feb, base period (MA-3300)
Countable income (MA-3300)
FCM2AMED@mecknc.gov
FFM-D (MA-3200)
February 2026
R/C (MA-3310)
Customer and AR
CSE (IV-D) policy (MA-3365)
Countable income (MA-3300)
Non countable income (MA-3300)