Form 3400 Dhec Healthy Connections Application (Dhec) - South Carolina

Form 3400 Dhec Healthy Connections Application (Dhec) - South Carolina

What Is Form 3400?

This is a legal form that was released by the South Carolina Department of Health and Environmental Control - 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 Form 3400 Dhec Healthy Connections Application?
A: Form 3400 Dhec Healthy Connections Application is a form used in South Carolina to apply for the Healthy Connections Medicaid program.

Q: What is the purpose of the Healthy Connections Medicaid program?
A: The Healthy Connections Medicaid program provides medical assistance to eligible individuals and families in South Carolina.

Q: Who is eligible to apply for the Healthy Connections Medicaid program?
A: Eligibility for the Healthy Connections Medicaid program is based on various factors such as income, age, and residency requirements.

Q: What documents are required to apply for the Healthy Connections Medicaid program?
A: The required documents may include proof of income, proof of residency, social security numbers, and identification documents.

Q: How can I submit my completed Form 3400 Dhec Healthy Connections Application?
A: You can submit your completed Form 3400 Dhec Healthy Connections Application by mail, fax, or in person at your local county Department of Social Services (DSS) office.

Q: Is there a deadline for submitting the Healthy Connections Medicaid application?
A: There is no specific deadline for submitting the Healthy Connections Medicaid application. However, it is recommended to apply as soon as possible.

Q: Will I receive confirmation after submitting my Healthy Connections Medicaid application?
A: Yes, you should receive a confirmation after submitting your Healthy Connections Medicaid application. It is important to keep a copy of the confirmation for your records.

Q: Who should I contact for more information about the Healthy Connections Medicaid program?
A: For more information about the Healthy Connections Medicaid program, you can contact the South Carolina Department of Health and Human Services (SCDHHS) or your local county Department of Social Services (DSS) office.

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Form Details:

  • Released on July 1, 2016;
  • The latest edition provided by the South Carolina Department of Health and Environmental Control;
  • 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 Form 3400 by clicking the link below or browse more documents and templates provided by the South Carolina Department of Health and Environmental Control.

Download Form 3400 Dhec Healthy Connections Application (Dhec) - South Carolina

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