Medicaid Hawk I Review - Fill and Sign Printable Template 2026

1. Click ‘Get Form’ to open the Medicaid Hawk I Review template in our editor.
2. Begin by entering your Due Date, Case Number, County Number, and Worker Name at the top of the form.
3. Carefully answer all questions regarding your household members. Ensure you provide accurate information for each person listed.
4. Review your contact information section. Correct any inaccuracies in your name, address, phone number, and email.
5. Fill out the Household Members section by providing details such as names, ages, relationships, and whether they are receiving Medicaid or Hawki.
6. Complete the Tax Information section if applicable. Indicate if you plan to file a federal income tax return this year.
7. Sign the form on page 8 where indicated. Ensure that all required fields are filled before submission.
8. Return the completed form via mail or in-person to your local DHS office by the specified deadline.

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