Instructions for Form DHS1100B-2 Medical Assistance Renewal Form for Magi-Excepted Households - Hawaii

Instructions for Form DHS1100B-2 Medical Assistance Renewal Form for Magi-Excepted Households - Hawaii

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.

FAQ

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.

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Instruction Details:

  • This 3-page document is available for download in PDF;
  • Actual and applicable for the current year;
  • Complete, printable, and free.

Download your copy of the instructions by clicking the link below or browse hundreds of other forms in our library of forms released by the Hawaii Department of Human Services.

Download Instructions for Form DHS1100B-2 Medical Assistance Renewal Form for Magi-Excepted Households - Hawaii

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