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DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services 7500 Security Boulevard, Mail Stop S2-26-12 Baltimore, Maryland 21244-1850 Medicaid & CHIP: May 2014 Monthly Applications,

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What is eligibility determinations and enrollment?

Eligibility determinations and enrollment refers to the process of assessing whether an individual meets the requirements to receive certain benefits or services, and then enrolling them in the program if they are eligible.

Who is required to file eligibility determinations and enrollment?

Individuals or organizations responsible for administering the benefits program are required to file eligibility determinations and enrollment.

How to fill out eligibility determinations and enrollment?

Eligibility determinations and enrollment forms can typically be filled out online, over the phone, or in person at a designated office. The form will require information about the applicant's income, household size, and other relevant factors.

What is the purpose of eligibility determinations and enrollment?

The purpose of eligibility determinations and enrollment is to ensure that only those who meet the specific criteria are able to access the benefits or services being offered.

What information must be reported on eligibility determinations and enrollment?

Information such as income, household size, and any other relevant factors that determine eligibility for the benefits program.

How can I get eligibility determinations and enrollment?

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