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Click ‘Get Form’ to open the dhs retroactive application in the editor.
Begin by entering the months for which you have unpaid medical bills. Fill in the first, second, and third month fields with the respective dates.
For each month listed, provide the names of family members living with you and indicate if they have unpaid medical expenses by checking 'yes' or 'no'.
Answer questions regarding hospital stays for family members on the last day of each month. If applicable, enter their names.
Detail any significant changes during each month, such as births or changes in employment status, along with the dates of these changes.
Attach proof of income for each month applied for and complete sections regarding child support, guardianship expenses, alimony, and other financial obligations.
Finally, certify that all information is accurate by signing and dating the form before submitting it through our platform.
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What documents are needed for Medicaid in Michigan?
What to bring to your DHS appointment Proof of Income. Pay Stub(s) from the last 30 days. Bank Statement from the last 30 days. Social Security awards letter. Tax Return. Unemployment letter. Social Security Number. Identification. Drivers License. State ID. Proof of Address. ID with current address. Utility Bill.
What is retroactive Medicaid coverage in DC?
What is Retro Medicaid? Medicaid for those in need of assistance paying for medical bills from the past 3 months. You and/or a household member must meet all eligibility requirements for Medicaid during the retroactive period to qualify for Retroactive Medicaid coverage.
What is retroactive Medicaid Michigan?
Retroactive Medicaid will cover long-term care costs for up to three months prior to the date of ones application, as long as the applicant was eligible during that time.
Is Minnesota health care programs Medicaid?
Medical Assistance is also called MA or Medicaid. It and MinnesotaCare are health insurance programs for people with low incomes. HealthPartners contracts with the Minnesota Department of Human Services (DHS) to offer these programs.
Is Michigan Medicaid retroactive?
A: There will be retroactive coverage for the Healthy Michigan Plan. Beneficiaries cannot receive retroactive coverage for any dates prior to April 1, 2014.
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People also ask
Is Medicaid retroactive to date of application?
Benefits also may be covered retroactively for up to three months prior to the month of application, if the individual would have been eligible during that period had he or she applied. Coverage generally stops at the end of the month in which a person no longer meets the requirements for eligibility.
Related links
Medical Assistance | dhs - DC Department of Human Services
You and/or a household member must meet all eligibility requirements for Medicaid during the retroactive period to qualify for Retroactive Medicaid coverage.
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