AK DHSS GEN 50C (06-3860) 2014 free printable template
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State of Alaska Department of Health and Social Services Division of Public Assistance http://dhss.alaska.gov/dpa/ Application for Services If you need help filling out this form or have questions,
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How to fill out AK DHSS GEN 50C 06-3860
How to fill out AK DHSS GEN 50C (06-3860)
01
Obtain a blank AK DHSS GEN 50C (06-3860) form from the official website or local office.
02
Fill out the applicant's personal information in the designated fields, including name, address, and contact details.
03
Provide relevant details about the individual's eligibility for benefits, including income and household size.
04
Sign and date the form to confirm the accuracy of the information provided.
05
Submit the completed form to the appropriate department, either in person or by mailing it to the designated address.
Who needs AK DHSS GEN 50C (06-3860)?
01
Individuals applying for public assistance programs in Alaska.
02
Those seeking food benefits, medical assistance, or other social services through the Department of Health and Social Services.
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People Also Ask about
How do I find my Alaska Medicaid number?
Please call Conduent at (907) 644-6800 or our in-state toll free number, (800) 770-5650, about your participation in Alaska Medical Assistance.
How do I contact Medicaid in Alaska?
If you are located in the Anchorage area call 907-644-6800. If you are located outside the Anchorage area or in another state, you may call toll free at 800-770-5650.
What is the Alaska State Assistance Program?
The Alaska Temporary Assistance Program ( ATAP ) provides cash assistance and work services to low-income families with children to help them with basic needs while they work toward becoming self-sufficient. This program is provided under the federal Temporary Assistance for Needy Families ( TANF ) block grant.
Who is the director of the Alaska DPA?
Department of Health Communications Director Clinton Bennett said in an email that Deb Etheridge, a former health department employee, will take up the position.
How do I report a change to Medicaid in Alaska?
You may also contact Public Assistance at 800-478-7778 to get this information. Changes must be reported within 10 days of when you know of the change.
What is the welfare system in Alaska?
The Alaska Temporary Assistance Program ( ATAP ) provides cash assistance and work services to low-income families with children to help them with basic needs while they work toward becoming self-sufficient. This program is provided under the federal Temporary Assistance for Needy Families ( TANF ) block grant.
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What is AK DHSS GEN 50C (06-3860)?
AK DHSS GEN 50C (06-3860) is a form used by individuals or entities in Alaska to report specific information to the Department of Health and Social Services.
Who is required to file AK DHSS GEN 50C (06-3860)?
Individuals and organizations that provide services or assistance related to health and social services in Alaska may be required to file AK DHSS GEN 50C (06-3860).
How to fill out AK DHSS GEN 50C (06-3860)?
To fill out AK DHSS GEN 50C (06-3860), follow the instructions provided on the form, ensuring to include all required information accurately and completely.
What is the purpose of AK DHSS GEN 50C (06-3860)?
The purpose of AK DHSS GEN 50C (06-3860) is to collect data related to health and social services to ensure compliance with state regulations and to inform program development.
What information must be reported on AK DHSS GEN 50C (06-3860)?
The information that must be reported on AK DHSS GEN 50C (06-3860) typically includes details about the reporting entity, services provided, and relevant statistical data.
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