This government document is issued by Department of Aging for use in Pennsylvania
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https://www.google.com/url?client=internal-element-cse&cx=007572080359491747877:p5rt2izphxk&q=https://www.aging.pa.gov/publications/aging-program-directives/Program%2520Area%252029%2520Other/APD%252019-29-01%2520Veterans.pdf&sa=U&ved=2ahUKEwioiZnw9K_8AhURRsAKHbuwAWQ4WhAWegQIABAC&usg=AOvVaw0_2mqDYiw-n6vzHBUVz69V