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MISSOURI DEPARTMENT OF SOCIAL SERVICES FAMILY SUPPORT DIVISION TEMPORARY MO HEALTHIER DURING PREGNANCY (TEMP) AUTHORIZATION FROM COUNTY NAME DATE COUNTY OFFICE ADDRESS (STREET, CITY, STATE, ZIP CODE)
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Temp MO HealthNet is a temporary health insurance program in Missouri that provides coverage for low-income individuals and families who meet certain eligibility criteria.
Individuals and families who meet the eligibility criteria and require health insurance coverage in Missouri are required to file for Temp MO HealthNet.
To fill out Temp MO HealthNet, individuals need to complete an application form provided by the Missouri Department of Social Services. The form requires personal and financial information, as well as documentation to determine eligibility.
The purpose of Temp MO HealthNet is to provide temporary health insurance coverage to low-income individuals and families who do not have access to other health insurance options.
Temp MO HealthNet requires individuals to report personal information such as name, address, and Social Security number. Additionally, individuals must provide financial information such as income, assets, and employment details.
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