Department of Budget and Management

**Please note that your answers on the supplemental questionnaire must correspond to the information provided on your application to receive credit. Applications that do not include a completed supplemental questionnaire will be considered incomplete and may be subject to disapproval.**

Describe your knowledge of and experience with the application of Medical Assistance policies, regulations and guidelines.

This experience must also be reflected in your application. If you do not possess this type of experience, please indicate N/A.

Describe your experience exercising independent judgment and discretion as it directly relates to Medical Assistance Program data and situations.

Please include name of employer, job title, dates of employment, and hours worked per week. This information must be reflected in your application. If you do not have this type of experience, please write N/A.