Pa form 253 2025

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  1. Click ‘Get Form’ to open the PA Form 253 in the editor.
  2. Begin by entering your scheduled interview details, including the day, date, time, and place. Ensure accuracy as this information is crucial for your appointment.
  3. Next, review the eligibility requirements for cash, medical assistance, and SNAP. Make sure to check which members of your household need to attend the interview.
  4. Proceed to fill out the verification checklist on the reverse side. Check off each item you can provide proof for during your interview. This will help streamline your application process.
  5. If you have any questions about specific items on the checklist or need clarification, utilize our platform's comment feature to note these down for discussion during your interview.

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2019 4.8 Satisfied (98 Votes)
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Pennsylvania Aging Waiver Program (Community HealthChoices) The resource limit for Aging Waiver Program is $8,000, but as a general rule the applicants gross income needs to be at or under $2,829/month.
Proof of citizenship and immigration status (birth certificate, military records, U.S. Passport, Naturalization Certificate, permanent resident card/Green card). Proof of Social Security Number (Social Security Card, photo ID with birthdate so social worker can look up your Social Security Number).
Pay stubs for the last 30 days. Pay stubs for the last 4 months. Proof of expense for child care (babysitter) or for care of a disabled adult.
Understanding the decision process ActionTimeline Application submitted Up to 30 days for processing Decision letter received Within 30 days Benefits posted 30 days or less after approval Contacting for updates Anytime during after application process Jan 14, 2025
The document is an appointment notice and verification checklist for individuals applying for cash, medical, or SNAP assistance. It outlines the scheduled interview details, requirements for attendance, necessary documentation to bring, and emphasizes the importance of cooperation in providing proof of eligibility.
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