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Eligibility Review for Long Term Services and …

    https://www.dshs.wa.gov/sites/default/files/forms/pdf/14-416.pdf
    DSHS 14-416 (REV. 07/2022) Eligibility Review for Long Term Services and Supports Client Name (first, middle initial, last) ... Unpaid Medical Bills ( list) $ $ Marital Status . Has your marital status changed ... the eligibility review form and my rights and …

Eligibility Reviews/Recertifications - Requirements for …

    https://www.dshs.wa.gov/esa/eligibility-review-requirements-cash-food-and-medical-programs/eligibility-reviewsrecertifications-requirements-food-cash-and-medical-programs
    Forms / processes a person can use to recertify food, cash and medical programs: Someone can recertify benefits by: Completing DSHS 14-001 (X) Application for Benefits; …

Eligibility Review Requirements for Cash, Food and …

    https://www.dshs.wa.gov/esa/eligibility-z-manual-ea-z/eligibility-review-requirements-cash-food-and-medical-programs
    A. ELIGIBILITY REVIEW/RECERTIFICATIONS - REQUIREMENTS FOR FOOD, CASH AND MEDICAL PROGRAMS. WAC 388-434-0005 The department …

Eligibility for DSHS Services | DSHS - Washington

    https://www.dshs.wa.gov/esa/community-services-offices/eligibility-dshs-services
    Eligibility for DSHS Services. Each DSHS program has its own eligibility requirements; this is only a general overview. All programs consider your income. Some programs also …

Food, Cash, Medical | DSHS - Washington

    https://www.dshs.wa.gov/food-cash-medical
    Basic Food for Legal Immigrants. Temporary Assistance for Needy Families. Refugee Cash Assistance. Unclaimed property. Apple Health for Kids. Apple Health for Adults. Alien …

If you need help reading or completing this form, …

    https://www.dshs.wa.gov/sites/default/files/forms/pdf/14-078.pdf
    This Eligibility Review form can only be used to renew coverage for the Washington Apple Health programs listed on this form. For other health care coverage …

Renewals | Washington State Health Care Authority

    https://www.hca.wa.gov/free-or-low-cost-health-care/i-help-others-apply-and-access-apple-health/renewals
    Renewals for LTSS medical can be completed: Online through Washington Connections. Go to "renew by benefits"; or. By submitting DSHS 14-416 Eligibility …

Washington Connection (Your Link to Services)

    http://washingtonconnection.org/home/
    Tribal Outstations are now open to assist with DSHS services, such as applications for cash, food and medical assistance. EBT cards are issued at select locations. Use the Office …

How to apply for services | DSHS - Washington

    https://www.dshs.wa.gov/esa/community-services-offices/how-apply-services
    Turn in your application. You may complete an online application by clicking here , contacting the Customer Service Contact Center 877-501-2233 or going in to your local …

Mid Certification Reviews | DSHS - Washington

    https://www.dshs.wa.gov/esa/eligibility-z-manual-ea-z/mid-certification-reviews
    Revised February 17, 2021 WAC 388-418-0011 What is a mid-certification review (MCR), and do I have to complete one in order to keep receiving benefits? Clarifying Information …



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