MI DHS-PUB-1010 2020 free printable template

Information Booklet Important Things about Programs and Services Michigan Department of Health and Human Services Read this booklet before you sign the Assistance Application/Redetermination form. MDHHS-Pub-1010 (Rev. 3-20) Previous edition obsolete. The Michigan Department of Health and Human Services (MDHHS) does not discriminate against any individual or group because of race, religion, age, national origin, color, height, weight, marital status, genetic information, sex, sexual...

How to fill out MI DHS-PUB-1010

How to fill out MI DHS-PUB-1010

1. Obtain the MI DHS-PUB-1010 form from the Michigan Department of Health and Human Services website or your local office.
2. Read the instructions carefully before starting to fill out the form.
3. Fill in your personal information such as name, address, and contact details in the designated sections.
4. Provide information regarding your household members, including their names, ages, and relationships to you.
5. Indicate your income sources by providing detailed information about your employment, benefits, and any other income.
6. Complete the section regarding your expenses, including rent, utilities, and medical costs, if applicable.
7. Review the entire form for accuracy and completeness before signing.
8. Sign and date the form at the bottom where indicated.
9. Submit the form as instructed, either online, by mail, or in person at your local office.

Who needs MI DHS-PUB-1010?

1. Individuals applying for public assistance programs such as food assistance, cash assistance, or medical assistance.
2. Families seeking support from the Michigan Department of Health and Human Services.
3. Anyone who needs to report changes in their income or household composition for eligibility determination.

Instructions and Help about MI DHS-PUB-1010

People Also Ask about

Does Michigan DHS help with a car?

THE MAXIMUM AMOUNT WE PROVIDE IS $3000.00 TO GO TOWARDS THE PURCHASE OF A CAR.

Does Michigan Medicaid automatically renew?

Everyone who gets Medicaid will once again be required to go through a redetermination once per year. Some people will be automatically renewed by an MDHHS process that checks eligibility information automatically using shared government records. Most people will need to complete a yearly renewal form.

Do you have to pay back food stamps in Michigan?

Repayment of Benefits The benefits must be repaid even if MDHHS makes the error. If you continue to receive benefits, MDHHS may keep part or all of your benefits to repay the benefits you received in error.

What is DHS 4487 form?

Dhs 4487 Unearned Income Notice - Fill Out and Sign Printable PDF Template | signNow.

What is Michigan Office of Administrative Hearings and Rules?

The Michigan Office of Administrative Hearings and Rules (MOAHR), created by EO 2019-06 and modified by EO 2019-13, is a Type I agency within the Department of Licensing and Regulatory Affairs.

Do I have to renew Medicaid each year Michigan?

You must renew your benefits — Medicaid, Healthy Michigan or MIChild coverage — every year. And always make sure to keep your info up to date. This allows you to keep your benefits and services.

Does Michigan automatically renew Medicaid?

Everyone who gets Medicaid will once again be required to go through a redetermination once per year. Some people will be automatically renewed by an MDHHS process that checks eligibility information automatically using shared government records. Most people will need to complete a yearly renewal form.

What age does Medicaid end in michigan?

Medicaid is available to eligible persons under age 21. There is an income test and an asset test for this program. If income is over the income limit, the person is assigned a deductible.

How do I know if my michigan Medicaid is active?

Contact Provider Inquiry at 1-800-292-2550 to verify eligibility.

Do I have to reapply for Medicaid every year michigan?

You must renew your benefits — Medicaid, Healthy Michigan or MIChild coverage — every year. And always make sure to keep your info up to date. This allows you to keep your benefits and services. Watch for a Medicaid, Healthy Michigan or MIChild renewal notice in the mail.

What is Mdhhs in Michigan?

Michigan Department of Health & Human Services.

How do I appeal a food stamp denial in Michigan?

To inquire about potential appeal rights, please contact the Michigan Administrative Hearings System (MAHS) at 1-877-833-0870.

What is redetermination form Michigan?

Every year, people in Medicaid have to provide information to their caseworker at MDHHS to show they continue to be eligible for Medicaid. This is called “redetermination.”

How do I file a hearing with DHS in Michigan?

To Ask for a Hearing: A request for an administrative hearing must be made in writing and signed by you or someone authorized to act on your behalf. For convenience, MDHHS provides a hearing request form that you should bring or mail to your MDHHS office (no faxes or photocopies).

How do I file a complaint against a DHS worker in Michigan?

For cases which require an emergency response, please continue to call 911 and then the Centralized Intake Hotline at 855-444-3911 instead of using the Michigan Online Reporting System to submit a complaint.

What is a Michigan DHS 4487 form?

The DHS-4487 is mailed during the month prior to the redetermina- tion month for active recipients when a match is found with IRS. Specialists are sent a task/reminder which identifies the client who received notices.

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What is MI DHS-PUB-1010?

MI DHS-PUB-1010 is a form used by the Michigan Department of Health and Human Services to report certain information related to eligibility for assistance programs.

Who is required to file MI DHS-PUB-1010?

Individuals who are applying for or renewing eligibility for state assistance programs, such as Medicaid or food assistance, are required to file MI DHS-PUB-1010.

How to fill out MI DHS-PUB-1010?

To fill out MI DHS-PUB-1010, you need to provide personal information, income details, household composition, and any other required documentation as specified in the instructions.

What is the purpose of MI DHS-PUB-1010?

The purpose of MI DHS-PUB-1010 is to collect necessary information to assess eligibility for various assistance programs and ensure compliance with state regulations.

What information must be reported on MI DHS-PUB-1010?

Information that must be reported on MI DHS-PUB-1010 includes personal identification details, household income, expenses, dependents, and any other pertinent financial information.