Dhhs form 3400 b-2026

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  1. Click ‘Get Form’ to open the dhhs form 3400 b in the editor.
  2. Begin by entering the name and Social Security Number of the person needing assistance in Section 1. Ensure accuracy as this information is crucial for eligibility determination.
  3. In Section 2, indicate the current location of the individual—whether at home, a hospital, or a nursing home. If they are not at home, provide details about their current facility.
  4. Proceed to Section 3 and check if anyone holds Conservatorship, Guardianship, or Power of Attorney for the applicant. If applicable, attach legal documentation.
  5. Sections 4 through 6 require you to answer questions regarding income allocation and previous employment benefits. Be thorough in your responses to ensure all relevant information is captured.
  6. Continue filling out Sections 7 through 10 by providing details about any additional income sources and assets owned by the applicant or spouse. Attach necessary proof as indicated.
  7. Finally, review all sections for completeness and accuracy before signing at the end of the form. Use our platform’s features to save your progress and make edits as needed.

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Create an account with the Health Insurance Marketplace and fill out an application. If it looks like anyone in your household qualifies for Medicaid, your information will be sent to your state agency. They will contact you about enrollment. How to apply for Medicaid and CHIP | USAGov USA.gov medicaid-chip-insurance USA.gov medicaid-chip-insurance
You will need to contact your local Medicaid office to find out what they require for Medicaid qualification documentation, but most offices require the following: Proof of pregnancy. Proof of citizenship, if a legal US resident ( and identification documentation such as a birth certificate or social security card) Medicaid for Pregnant Women - American Pregnancy Association American Pregnancy Association planning medicaid-for American Pregnancy Association planning medicaid-for
Medicaid eligibility drives access to care. Pregnancy Medicaid offers program eligibility at higher income levels, but with reduced access to preconception and postpartum care. Extended postpartum coverage for this eligibility category through the American Rescue Plan 2021 may help improve perinatal health. Not all Medicaid for pregnancy care is delivered equally - PMC nih.gov articles PMC10990183 nih.gov articles PMC10990183
Are you a Healthy Connections Medicaid member who has recently moved? Weve got a new and easy way for you to update your address! Visit apply.scdhhs.gov to find our change of address portal. We always need your current information so we can send you any updates about your Medicaid coverage.