DHHS Form 3400 Application for Medicaid and Affordable Health Coverage - South Carolina

DHHS Form 3400 Application for Medicaid and Affordable Health Coverage - South Carolina

What Is DHHS Form 3400?

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

FAQ

Q: What is DHHS Form 3400?
A: DHHS Form 3400 is the Application for Medicaid and Affordable Health Coverage in South Carolina.

Q: Who can use DHHS Form 3400?
A: Any individual or family in South Carolina who needs to apply for Medicaid or affordable health coverage can use DHHS Form 3400.

Q: What is the purpose of DHHS Form 3400?
A: The purpose of DHHS Form 3400 is to gather information from applicants to determine their eligibility for Medicaid or affordable health coverage.

Q: What documents do I need to complete DHHS Form 3400?
A: You will need documents such as proof of income, identification, and immigration status to complete DHHS Form 3400.

Q: How do I submit DHHS Form 3400?
A: You can submit DHHS Form 3400 by mail, fax, or in person at your local DHHS office.

Q: What happens after I submit DHHS Form 3400?
A: After you submit DHHS Form 3400, your application will be reviewed, and you will receive a notice regarding your eligibility for Medicaid or affordable health coverage.

Q: Is DHHS Form 3400 only for Medicaid?
A: No, DHHS Form 3400 can also be used to apply for affordable health coverage through programs like the Children's Health Insurance Program (CHIP).

Q: Is there a deadline to submit DHHS Form 3400?
A: There is no specific deadline to submit DHHS Form 3400, but it is recommended to apply as soon as possible to ensure timely processing of your application.

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Form Details:

  • Released on March 1, 2020;
  • The latest edition provided by the South Carolina Department of Health and Human Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of DHHS Form 3400 by clicking the link below or browse more documents and templates provided by the South Carolina Department of Health and Human Services.

Download DHHS Form 3400 Application for Medicaid and Affordable Health Coverage - South Carolina

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