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MT DPHHS-HCS-252 2010-2025 free printable template

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DPHHS-HCS-252 (Rev. 09/2010) STATE OF MONTANA Department of Public Health and Human Services SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) APPLICATION If you need assistance completing this application,
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How to fill out MT DPHHS-HCS-252

01
Obtain the MT DPHHS-HCS-252 form from the official DPHHS website or your local health department.
02
Fill in the applicant's personal information, including name, address, and contact details.
03
Specify the type of service or assistance being requested.
04
Provide necessary medical or supporting documentation, if required.
05
Review the form for completeness and accuracy.
06
Sign and date the form where indicated.
07
Submit the completed form according to the instructions provided, either by mail or in person.

Who needs MT DPHHS-HCS-252?

01
Individuals seeking assistance or services related to health and human services in Montana.
02
Caregivers or guardians applying on behalf of someone who requires health assistance.
03
Providers or organizations submitting requests for client services.
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People Also Ask about

If you qualify for SNAP benefits, you will get them no later than 30 days from the date of the application. However, families with little or no money may be eligible for expedited SNAP and have their first benefits within 7 days.
EBT is in use in all 50 states, the District of Columbia, Puerto Rico, the Virgin Islands, and Guam.
Food Stamp recipients can use the card to purchase approved food items at retailers anywhere in the nation who are authorized by the USDA Food and Nutrition Services.
You can use food stamps to buy groceries, snacks, and seeds or plants that will produce food. You can't use food stamps to buy alcohol, tobacco products, vitamins, live animals, prepared foods, or any non-food household items.
What can I buy with EBT? You can use food stamps to buy groceries, snacks, and seeds or plants that will produce food. You can't use food stamps to buy alcohol, tobacco products, vitamins, live animals, prepared foods, or any non-food household items.
Financial Criteria People in HouseholdGross Monthly Income StandardNet Monthly Income Standard1$1,473$1,1332$1,984$1,5263$2,495$1,9204$3,007$2,3135 more rows

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MT DPHHS-HCS-252 is a form used by the Montana Department of Public Health and Human Services to collect information related to health care services.
Organizations and individuals providing certain health care services in Montana are required to file MT DPHHS-HCS-252.
To fill out MT DPHHS-HCS-252, one must provide accurate information as requested on the form, including details about the services provided and any relevant financial data.
The purpose of MT DPHHS-HCS-252 is to gather data to help the Montana Department of Public Health and Human Services assess health care services and inform policy decisions.
The information that must be reported includes details about the health care services provided, patient demographics, financial information, and any outcomes associated with those services.
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