This version of the form is not currently in use and is provided for reference only. Download this version of Form DSS-EA-FSSA for the current year.
This is a legal form that was released by the South Dakota Department of Social Services - a government authority operating within South Dakota. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form DSS-EA-FSSA?
A: Form DSS-EA-FSSA is an application used in South Dakota to apply for health coverage and financial assistance to help with healthcare costs.
Q: Who can use Form DSS-EA-FSSA?
A: South Dakota residents who need health coverage and financial assistance can use Form DSS-EA-FSSA to apply.
Q: What does DSS-EA-FSSA stand for?
A: DSS-EA-FSSA stands for Department of Social Services-Eligibility Assistance-Financial Services and Support Administration.
Q: What type of health coverage can I apply for with Form DSS-EA-FSSA?
A: You can apply for Medicaid, the Children's Health Insurance Program (CHIP), or other public health insurance programs available in South Dakota.
Q: How can I get help paying for health costs with Form DSS-EA-FSSA?
A: If you qualify, Form DSS-EA-FSSA can help you get financial assistance to help pay for health insurance premiums, deductibles, copayments, and other healthcare costs.
Q: What documents do I need to complete Form DSS-EA-FSSA?
A: You will need documents such as proof of income, residency, citizenship, and social security numbers for your household members to complete Form DSS-EA-FSSA.
Q: How long does it take to process a Form DSS-EA-FSSA application?
A: The processing time for Form DSS-EA-FSSA can vary, but it typically takes about 30 days from the date your application is received.
Q: Can I get assistance with filling out Form DSS-EA-FSSA?
A: Yes, you can get assistance with filling out Form DSS-EA-FSSA from local health and social services offices or certified application counselors.
Form Details:
Download a printable version of Form DSS-EA-FSSA by clicking the link below or browse more documents and templates provided by the South Dakota Department of Social Services.