This is a legal form that was released by the Kentucky Department for Community Based Services - a government authority operating within Kentucky. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form PA-77?
A: Form PA-77 is an Intent to Apply for KTAP, Medicaid, State Supplementation, and/or Child Care Assistance in Kentucky.
Q: What is KTAP?
A: KTAP stands for Kentucky Transitional Assistance Program, which provides temporary cash assistance to low-income families.
Q: What is Medicaid?
A: Medicaid is a government health insurance program that provides coverage to low-income individuals and families.
Q: What is State Supplementation?
A: State Supplementation is a program that provides additional cash assistance to certain individuals who receive Supplemental Security Income (SSI).
Q: What is Child Care Assistance?
A: Child Care Assistance is a program that helps low-income families pay for child care services while they work, attend school, or participate in job training.
Q: Who should submit Form PA-77?
A: Individuals who wish to apply for KTAP, Medicaid, State Supplementation, and/or Child Care Assistance in Kentucky should submit Form PA-77.
Q: What information is required on Form PA-77?
A: Form PA-77 requires information about the applicant's income, household members, assets, and other relevant details.
Q: Is there a deadline for submitting Form PA-77?
A: There may be a deadline for submitting Form PA-77, so it's important to check with the Kentucky Cabinet for Health and Family Services.
Q: Can I apply for multiple assistance programs with Form PA-77?
A: Yes, Form PA-77 allows you to indicate your intent to apply for multiple programs, such as KTAP, Medicaid, State Supplementation, and Child Care Assistance.
Form Details:
Download a printable version of Form PA-77 by clicking the link below or browse more documents and templates provided by the Kentucky Department for Community Based Services.