Secure Your Seat forFoundations For a Successful Medicaid Crisis Planning Practice Presented By Krause Financial & Atticus "*" indicates required fields Name* First Last Email* Phone*Mailing Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Company Name* Professional Designation*Professional DesignationAttorneyParalegalOtherCLE DetailsAre you interested in receiving CLE?* Yes No In Which State(s)?*This information helps us apply for CLE in the appropriate states. Attendee info can be updated anytime before the event.AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingBar ID Number* Event AccommodationsDo you have any dietary restrictions?* Yes No Please explain so we can make accommodations:*Are there any other accommodations you may need during for this event?If not, you can leave this field blank.Payment DetailsFoundations For a Successful Medicaid Crisis Planning Practice Price: Group Code? Enter Group Code Total Credit Card*Card Details Cardholder Name Disclaimer For New York & California Registrants*Due to specific Medicaid regulations in New York and California, the strategies taught in this course are not applicable to attorneys practicing in these states. By checking this box, you agree to attend the course with the understanding there will be no discussion related to Medicaid or any other type of crisis planning in these states. I understand information about New York and California planning will not be covered. Δ