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CONNECTICUT DEPARTMENT OF SOCIAL SERVICESUNIFORM POLICY MANUAL ___ Date: 7197Transmittal: UP9721 P5020.85 ___ Section:Type:Treatment of Income PROCEDURES ___ Chapter:Program: Deemed Income ___Subject:Disqualified
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How to fill out husky b - non-medicaid

01
To fill out a Husky B - Non-Medicaid application, follow these steps:
02
Obtain the Husky B - Non-Medicaid application form either online or from the local Department of Social Services.
03
Fill in all the required personal information such as name, address, date of birth, and contact details.
04
Provide details about your household, including the number of people living with you and their relationship to you.
05
Submit information about your household income, including any wages, benefits, or other sources of income.
06
If applicable, provide additional documentation or supporting evidence such as proof of residency or immigration status.
07
Review the application form for completeness and accuracy before submitting it.
08
Submit the completed application either online, by mail, or in person to the appropriate Department of Social Services office.
09
Wait for the application to be processed and for a determination of eligibility to be made.
10
If approved, you will receive notification and be enrolled in the Husky B - Non-Medicaid program.
11
If denied, you may have the option to appeal the decision and provide additional information or documentation if necessary.

Who needs husky b - non-medicaid?

01
Husky B - Non-Medicaid is designed for individuals and families who do not qualify for Medicaid but still need affordable health insurance.
02
Specifically, those who meet the following criteria may be eligible for Husky B - Non-Medicaid:
03
- Connecticut residents
04
- U.S. citizens or qualified non-citizens
05
- Not eligible for Medicaid due to income or other factors
06
- Meet the applicable income limits and requirements
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- Have a need for comprehensive health insurance coverage

What is HUSKY B - Non-Medicaid CHIP Program Form?

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Husky B - Non-Medicaid is a health insurance program in Connecticut that provides coverage for children and pregnant women who do not qualify for Medicaid due to income limits.
Families with children or pregnant women who have income levels that exceed the Medicaid threshold but fall within Husky B eligibility limits must file for Husky B - Non-Medicaid.
To fill out Husky B - Non-Medicaid, applicants must complete an application form through the Connecticut Department of Social Services website or their local DSS office and provide necessary documentation such as income verification.
The purpose of Husky B - Non-Medicaid is to ensure that children and pregnant women in Connecticut have access to affordable health care services, regardless of their financial situation.
Applicants must report personal information, household income, social security numbers, and documentation of any existing health insurance coverage when applying for Husky B - Non-Medicaid.
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