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How to use or fill out Ways to Apply Health and Human Services North Dakota with our platform
- Click ‘Get Form’ to open the Medicaid Application for the Elderly and Disabled in the editor.
- Begin by checking the assistance programs you are applying for. Options include Medicaid, Workers With Disabilities, Children With Disabilities, Medicare Savings Programs, and Basic Care Assistance Program. Ensure you check all that apply.
- Fill out personal information including your name, address, and contact details. If applicable, provide directions to your home if it is in a rural area.
- Complete the sections regarding household members. List everyone living in your home and provide their details such as age, relationship, and Social Security Numbers.
- Provide proof of income, assets, expenses, and any other required documentation as specified in the form. Attach additional sheets if necessary.
- Sign and date your application at the end of the form. Make sure to return it to your local human service zone office or submit it via mail or fax as instructed.
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