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Get the free dshs basic health and medicaid eligibility review form - basichealth hca wa

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Eligibility Review Section 1: Household Information What language and dialect do you speak? Member/applicant's Last name Applicant signature (required) Gender Requesting coverage q Male q Female q
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How to fill out dshs basic health and

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How to fill out dshs basic health and?

01
Gather all the necessary documents such as identification and income proof.
02
Visit the DSHS website or go to your local DSHS office to access the application form.
03
Fill out the application form accurately and completely, providing all the required information.
04
Double-check the form to ensure there are no errors or missing details.
05
Submit the completed application either online or in person at the DSHS office.
06
Follow up with DSHS to check the status of your application and provide any additional information if required.

Who needs dshs basic health and?

01
Individuals who meet the income and residency requirements set by DSHS.
02
Those who do not have access to affordable health insurance.
03
Individuals who are in need of medical assistance and cannot afford private health coverage.
04
Families with children who are eligible for the Medicaid program.
05
Pregnant women who require prenatal care and delivery services.
06
Individuals with disabilities who meet the eligibility criteria set by DSHS.

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DSHS Basic Health is a program that provides low-cost health coverage to qualifying individuals and families in Washington State.
Individuals and families who meet the income and residency requirements set by the Department of Social and Health Services (DSHS) in Washington State are required to file for DSHS Basic Health.
To fill out DSHS Basic Health, individuals can visit the DSHS website and complete the online application. Paper applications are also available and can be submitted by mail or in person at a local DSHS office.
The purpose of DSHS Basic Health is to provide affordable health coverage to individuals and families who do not qualify for Medicaid or other state-sponsored health programs.
When filling out DSHS Basic Health, individuals and families will need to report information such as their income, household size, residency status, and citizenship status.
The exact deadline to file DSHS Basic Health in 2023 has not been announced yet. It is recommended to regularly check the DSHS website or contact their office for the most up-to-date information on deadlines.
The penalty for late filing of DSHS Basic Health may vary depending on the specific circumstances. It is important to submit the application within the designated timeframe to avoid any potential penalties or delays in coverage.
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