cbe.chcf-umms.org
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146.189.217.135
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URL:
https://cbe.chcf-umms.org/UserManagement/?returnUrl=https%3a%2f%2fcbe-rmts.chcf-umms.org%2fAccount%2fLogin&userName=HamilB...
Submission: On April 26 via manual from US — Scanned from DE
Submission: On April 26 via manual from US — Scanned from DE
Form analysis 1 forms found in the DOM
POST
<form id="redirectForm" method="post" action="" class="ng-pristine ng-valid">
<input name="__RequestVerificationToken" type="hidden" value="jVYp2HAlaSLl6B_D526lkYwDhe4kmhoRKMOmJEMeHKxF5LtuAUl22ANu4cPuQYZKdPY-RpsgV4I-l_TC0viF8ePOhHzwVnKw03p2wTcG6vI1">
<input id="hiddenUserName" type="hidden" name="userName" value="HamilB12">
</form>Text Content
Department of Medical Assistance Services LOGIN WELCOME TO DHS RANDOM MOMENT SAMPLING SYSTEM Please enter your User ID and Password. If you don't have an account, contact your System Administrator. User ID: Password: Forgot Password Click here to read Non-UMMS User Data Access Agreement. Contact Us Your password is expired. Please reset your password User ID: HamilB12 New Password: Confirm Password: Password requirements: Password must be a minimum of 8 characters in length, must include at least 1 uppercase, 1 lowercase, and 1 numerical value and cannot be one of your previous passwords Version: 1.1.1.8155 - 4/29/2022 8:11:48 PM