Form SFN416 Medicaid Application - Women's Way - North Dakota

What Is Form SFN416?

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

FAQ

Q: What is the Form SFN416 Medicaid Application?
A: The Form SFN416 Medicaid Application is a document used to apply for Medicaid benefits in North Dakota through the Women's Way program.

Q: Who is eligible to apply for Medicaid through Women's Way in North Dakota?
A: Women who are North Dakota residents, between the ages of 40-64, and have an income at or below 250% of the federal poverty level may be eligible to apply for Medicaid benefits through Women's Way.

Q: What information do I need to provide on the Form SFN416 Medicaid Application?
A: You will need to provide information about your personal identification, income, household size, and any other relevant information requested on the application form.