Application for Medicaid Recertification / Renewal Form - Washington, D.C.

Application for Medicaid Recertification / Renewal Form - Washington, D.C.

Application for Medicaid Recertification/Renewal Form is a legal document that was released by the Washington DC Department of Human Services - a government authority operating within Washington, D.C..

FAQ

Q: What is the Medicaid Recertification/Renewal Form?
A: The Medicaid Recertification/Renewal Form is a document used to apply for the renewal of Medicaid benefits in Washington, D.C.

Q: Who needs to complete the Medicaid Recertification/Renewal Form?
A: Any individual or family currently receiving Medicaid benefits in Washington, D.C. needs to complete the Medicaid Recertification/Renewal Form for the renewal of their benefits.

Q: How often do you need to renew Medicaid benefits in Washington, D.C.?
A: Medicaid benefits in Washington, D.C. need to be renewed once a year.

Q: What information is required on the Medicaid Recertification/Renewal Form?
A: The Medicaid Recertification/Renewal Form requires information such as income, household size, and any changes in circumstances since the last application.

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Form Details:

  • Released on October 1, 2019;
  • The latest edition currently provided by the Washington DC Department of Human Services;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Washington DC Department of Human Services.

Download Application for Medicaid Recertification / Renewal Form - Washington, D.C.

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