LL Form doc - dhmh maryland 2025

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Click here to check on a patients eligibility for Maryland Medicaid benefits. Or, call the States Eligibility Verification System (EVS) at 866-710-1447.
What is a Maryland benefit review form? The Maryland Benefit Review (MBR) form is used for this purpose. The MBR form is used to confirm that a SNAP household remains eligible for benefits for the remainder of the certification period. The process is also known as Periodic Reporting (PR).
Call Maryland Hunger Solutions at 1-866-821-5552 for an appointment to receive assistance in applying for SNAP, renewing your SNAP benefits, or to get more information and see if you may qualify for SNAP.
Place Form PV with attached check/money order on TOP of Form 502 and mail to: Comptroller of Maryland Payment Processing PO Box 8888 Annapolis, MD 21401-8888 DIRECT DEPOSIT OF REFUND (See Instruction 22.)
You can use Form 109-I to notify the Comptroller of Maryland that you have changed your home mailing address. If you have changed both your home and business mailing addresses, please submit Form 109-I along with Form 109-B. Please print using blue or black ink.
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