PDF
Word
BFA Form 820 Request to Determine Presumptive Eligibility (Pe) - New Hampshire
What Is BFA Form 820?
This is a legal form that was released by the New Hampshire Department of Health and Human Services - Bureau of Family Assistance - a government authority operating within New Hampshire. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is BFA Form 820?
A: BFA Form 820 is a Request to Determine Presumptive Eligibility (PE) form.
Q: What is Presumptive Eligibility?
A: Presumptive Eligibility is a temporary eligibility for Medicaid coverage while the full eligibility determination is processed.
Q: Who can use BFA Form 820?
A: The BFA Form 820 can be used by individuals who are seeking temporary Medicaid coverage in New Hampshire.
Q: What is the purpose of BFA Form 820?
A: The purpose of BFA Form 820 is to request a determination of presumptive eligibility for Medicaid coverage in New Hampshire.
Form Details:
- Released on February 1, 2020;
- The latest edition provided by the New Hampshire Department of Health and Human Services - Bureau of Family Assistance;
- 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 printable version of BFA Form 820 by clicking the link below or browse more documents and templates provided by the New Hampshire Department of Health and Human Services - Bureau of Family Assistance.
