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Client Self-Attestation Form - dhss.delaware.gov - dhss delaware 2025

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The document is a Client Self-Attestation Form for individuals ineligible for health insurance coverage or exempt from the federal insurance mandate under the Affordable Care Act. It outlines the transition from Delaware's Community Healthcare Access Program (CHAP) to Health Care Connection (HCC), which now serves low-income individuals who cannot purchase health insurance or are exempt. The form requires individuals to attest their ineligibility or exemption and provide relevant circumstances, along with personal contact information.

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How do I renew my Medicaid in Delaware?

Renewing your Medicaid eligibility is as easy as 1, 2, 3. Just follow the instructions on the letter. If you dont receive a letter, contact Customer Relations Unit at (302) 571-4900, Option 1 or 1-866-843-7212 (Monday through Friday, 8:00 a.m. to 4:30 p.m.). TTY users: 1-855-889-4325.

How do I check my Medicaid status in Delaware?

Log into your states Medicaid portal Many states have online portals where you can check your Medicaid coverage status. If you already created an account when you applied, log in to see any updates or changes to your status. Look for a section that shows your coverage details or current eligibility.

What does Dhss stand for in Delaware?

The mission of the Delaware Department of Health Social Services is: To improve the quality of life for Delawares citizens by promoting health and well-being, fostering self-sufficiency, and protecting vulnerable populations. Each of the divisions within DHSS provides essential services to meet our mission.

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