First Use Templates

Are you a resident of Washington state who has recently used Medicaid benefits for the first time? If so, it's important to document this first use to ensure the continuity of your benefits. Understanding the significance of this, the Washington State Department of Social and Health Services (DSHS) has created the DSHS Form 13-734, which is specifically designed for documenting the first use of Medicaid benefits.

The DSHS Form 13-734 Documentation of First Use of Medicaid Benefits is a crucial document that collects important information and verifies the initial utilization of Medicaid benefits. It comes in multiple languages, such as English, Korean, Somali, Vietnamese, and English/Cambodian, to accommodate the diverse population of Washington state.

The purpose of the DSHS Form 13-734 is to record your first encounter and experience with Medicaid benefits accurately. By filling out this form, you are ensuring that your initial use of Medicaid benefits is properly documented and recognized by the state. This documentation is crucial for seamless continuation of your benefits and to avoid any potential interruptions in the future.

The DSHS Form 13-734 Documentation of First Use of Medicaid Benefits serves as an official record and proof of your eligibility and entitlement to Medicaid benefits in Washington state. It helps the DSHS maintain reliable and up-to-date information about your initial use, facilitating efficient service delivery and ensuring your continued access to necessary healthcare and support.

If you have recently used Medicaid benefits for the first time in Washington state, make sure to complete the DSHS Form 13-734 Documentation of First Use of Medicaid Benefits. By doing so, you are taking a proactive step towards securing your healthcare coverage and ensuring that your future interactions with the Medicaid program proceed smoothly.