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STATE OF HAWAII DEPARTMENT OF HUMAN SERVICES Request Division Health Care Services Branch P.O. Box 700190 Cupola, Hawaii 967090190 Dear Applicant: The Affordable Care Act (ACA) required changes to
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The dhs 1139 instructions are for reporting information related to DHS programs and services.
Individuals or entities receiving DHS assistance or participating in DHS programs may be required to file dhs 1139 instructions.
DHS 1139 instructions can typically be filled out electronically or submitted through a designated portal specified by DHS.
The purpose of dhs 1139 instructions is to ensure accurate reporting of information to DHS for program evaluation and funding purposes.
Information such as income, household size, expenses, and other relevant details may need to be reported on dhs 1139 instructions.
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