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State of West Virginia DEPARTMENT OF HEALTH AND HUMAN RESOURCES Office of Inspector General Board of Review2699 Park Avenue, Suite 100 Huntington, WV 25704 Joe Man chin III Governor Martha Yeager
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How to fill out wv dhhr pas form

01
To fill out the WV DHHR PAS form, follow these steps:
02
Start by downloading the form from the official WV DHHR website.
03
Begin by providing your personal information such as your name, address, and contact details.
04
Fill in the sections related to your household including the number of people living with you and their details.
05
Next, provide your income details including any wages, benefits, or other sources of income.
06
Indicate if you receive any assistance programs such as SNAP, TANF, or Medicaid.
07
Provide details about your housing situation including rent or mortgage payments.
08
If you have any medical or health expenses, make sure to include them in the respective section.
09
Finally, review the form to ensure all the information is accurate and sign it before submitting it to the WV DHHR office.

Who needs wv dhhr pas form?

01
The WV DHHR PAS form is needed by individuals or households who are seeking assistance from the West Virginia Department of Health and Human Resources (DHHR).
02
This form is specifically used to determine eligibility for various assistance programs such as SNAP (Supplemental Nutrition Assistance Program), TANF (Temporary Assistance for Needy Families), Medicaid, and other services provided by the DHHR.
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The WV DHHR PAS form is a document used for reporting and evaluating the Personal Assistance Services provided by the West Virginia Department of Health and Human Resources.
Individuals or entities that provide personal assistance services and receive funding through the West Virginia DHHR are required to file the WV DHHR PAS form.
To fill out the WV DHHR PAS form, you need to provide details about the services rendered, including the nature of assistance, dates of service, and recipient information. Ensure all required fields are completed accurately.
The purpose of the WV DHHR PAS form is to assess and document the personal assistance services provided to ensure compliance with state regulations and to facilitate funding.
The form requires reporting information such as the recipient's personal details, types of services provided, the duration of services, and any relevant medical or support needs.
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