Dhhs form 3400 b-2025

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The document is a form used to collect information necessary for determining eligibility for Nursing Home, Institutional, or In-Home Care services. It requires detailed responses regarding the applicant's financial history, assets, and living situation over the past five years. Additionally, it includes sections on legal representation, income sources, property ownership, and potential estate recovery implications related to Medicaid services.

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Versions	Form popularity	Fillable & printable
2020	4.8 Satisfied (128 Votes)
2016	4.4 Satisfied (197 Votes)
2013	4 Satisfied (31 Votes)

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What is a DHHs form 3218 ME?

Get the up-to-date sc dhhs 3218 me-2025 now. Get Form. 4 out of 5. 54 votes. The document is an application form for disability benefits for children under the age of 19, provided by the South Carolina Vocational Rehabilitation Department.

What is form 3400?

CBP Form 3400. Page 1. CBP Form 3400 (03/25) Page of. Use this form to authorize the U.S. Department of Homeland Security (DHS) to disclose information to yourself and/or records about you to a third party.

How do I upload documents to SC Medicaid?

You can submit your documents in four easy steps: Visit apply.scdhhs.gov and select Document Upload tool. Enter your contact info. Enter info to help us find your Medicaid case or pending application. To upload your document, choose the type of document you are providing (if you are unsure, select Other Document)

What is the tax form for Medicaid in SC?

The tax form you received, Form 1095-B, represents health coverage for your Medicaid household for the 2022 tax year. You, your spouse, and/or one or more of your dependents were enrolled in Medicaid for at least part of one month of the previous calendar year.

How do I change my address with Medicaid SC?

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.

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