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DOH Form 430-024 Early Intervention Program (Eip) Confidential Application - Ehip Enrollment - Insurance Premium Assistance - Washington
What Is DOH Form 430-024?
This is a legal form that was released by the Washington State Department of Health - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is DOH Form 430-024?
A: DOH Form 430-024 is an application form for the Early Intervention Program (EIP) in Washington.
Q: What is the Early Intervention Program (EIP)?
A: The Early Intervention Program (EIP) is a program in Washington that provides early support and services to children with developmental delays or disabilities.
Q: What is EHIP enrollment?
A: EHIP enrollment refers to the enrollment process for the Early Intervention Program (EIP) in Washington.
Q: What is Insurance Premium Assistance?
A: Insurance Premium Assistance is a component of the Early Intervention Program (EIP) in Washington that helps subsidize the cost of health insurance premiums for eligible families.
Q: Who is eligible for EHIP enrollment?
A: Families with children who have developmental delays or disabilities and meet the income requirements may be eligible for EHIP enrollment.
Q: What is the purpose of DOH Form 430-024?
A: DOH Form 430-024 is used to apply for the Early Intervention Program (EIP) and to request Insurance Premium Assistance in Washington.
Form Details:
- Released on July 1, 2017;
- The latest edition provided by the Washington State Department of Health;
- Easy to use and ready to print;
- Available in Spanish;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of DOH Form 430-024 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.
Download DOH Form 430-024 Early Intervention Program (Eip) Confidential Application - Ehip Enrollment - Insurance Premium Assistance - Washington
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