This document contains official instructions for Form DHS1100B-2 , Medical Assistance Renewal Form for Magi-Excepted Households - a form released and collected by the Hawaii Department of Human Services. An up-to-date fillable Form DHS1100B-2 is available for download through this link.
Q: What is Form DHS1100B-2?
A: Form DHS1100B-2 is a Medical Assistance Renewal Form for Magi-Excepted Households in Hawaii.
Q: Who is this form for?
A: This form is for Magi-Excepted Households in Hawaii who want to renew their medical assistance.
Q: What is a Magi-Excepted Household?
A: A Magi-Excepted Household is a household that does not qualify for Medicaid based on Modified Adjusted Gross Income (MAGI) rules.
Q: Why should I fill out this form?
A: You should fill out this form to renew your medical assistance and ensure you can continue receiving healthcare benefits.
Q: Is there a deadline to submit this form?
A: Yes, there is a deadline to submit this form. The specific deadline will be mentioned on the form itself or provided by the Hawaii Department of Human Services.
Q: What information do I need to provide on this form?
A: You will need to provide personal information, income details, and other relevant information about your household.
Q: What happens after I submit this form?
A: After you submit this form, your eligibility for medical assistance will be reviewed. You will be notified of the decision or any further steps you need to take.
Q: What should I do if I have questions or need help with this form?
A: If you have questions or need help with this form, you can contact the Hawaii Department of Human Services or seek assistance from a qualified professional.
Instruction Details:
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