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Tool Instructions

The Request Material Tool is designed to guide you to the documents you need to submit your request for research identifiable data.
  • Not sure of the type of requester that you are? Visit this page to learn about each type.
  • Do you have questions about using the tool? Contact ResDAC at 888-973-7322 or
This is the organization that you are requesting data on behalf of.
The state signed Attachment A to the CMS Data Use Agreement if opting in to data sharing.
Select all that apply.
Select all that apply.
Scroll down to get your results. If you need to change your response after clicking "Get Results", click "Reset" to begin again. To begin the request process, email a draft (no signatures) of the documents in their original format (.xls, .pdf, .doc) to
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