DSHS Form 13-734 Documentation of First Use of Medicaid Benefits - Washington

What Is DSHS Form 13-734?

This is a legal form that was released by the Washington State Department of Social and Health Services - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is DSHS Form 13-734?
A: DSHS Form 13-734 is a documentation form used in Washington to record the first use of Medicaid benefits.

Q: Who uses DSHS Form 13-734?
A: This form is used by individuals in Washington who have received Medicaid benefits for the first time.

Q: Why is DSHS Form 13-734 used?
A: This form is used to document the first use of Medicaid benefits for eligibility and record-keeping purposes.

Q: What information is required on DSHS Form 13-734?
A: The form typically requires information such as the individual's name, address, Medicaid ID number, date of first use of benefits, and any supporting documentation.

Q: What should I do with DSHS Form 13-734 once completed?
A: Once completed, you should submit the form to the appropriate office of the Washington State Department of Social and Health Services (DSHS).