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Photo of Medical StethescopeHealth Care Coverage
The goal of the Department of Human Services is to ensure that essential health care coverage is made available to those who otherwise could NOT afford these services. Health care coverage may also be referred to as Medical Assistance (MA) or Medicaid.
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Adult

• Health Care Programs for Adults
Information about health care coverage for adults, seniors or disabled persons.

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Children, Families, & Pregnant Women

• Health Care Programs for Children

• Health Care Programs for Pregnant Women
These medicaid programs are specifically for pregnant women.

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• Health Care Programs for Families
Many times the entire family may be eligible for health care benefits.

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Forms

• Assistance Application (DHS-1171)
A packet containing an application for assistance, an information booklet and a filing form.

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• Solicitud de Asistencia - DHS-1171-SP

• Documento de Archivo - DHS-1171-F-SP PDF icon

• Irrevocable Funeral Contract Certification - DHS-8-A PDF icon

• Deductible Report - DHS-114A PDF icon

• Informe de Deducible - DHS-114A-SP PDF icon

• Plan First! Family Planning Program Application - MSA-1582 PDF icon

• Change Report - DHS-2240 PDF icon

• Informe de Cambio - DHS-2240-SP PDF icon

• Retroactive Medicaid Application - DHS-3243 PDF icon

• Solicitud Para Medicaid Retroactivo - DHS-3243-SP PDF icon

• Medicaid Application Patient of Nursing Home - DHS-4574 PDF icon

• Solicitud para Medicaid Paciente de Asilo - DHS-4574-SP PDF icon

• Assets Declaration, Patient and Spouse - DHS-4574-B PDF icon

• Declaración de Bienes Paciente y Esposo/a - DHS-4574-B-SP PDF icon

Publications

• Department of Community Health (MDCH) Brochures Available for Download
For Medicaid brochures, select Medicaid and Health Brochures from the list.

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• Reporting Changes on Your Assistance Case - DHS Pub-280 PDF icon

• Reportando Cambios - DHS Pub-280-SP PDF icon

• What Every Parent Should Know About Establishing Paternity - DHS Pub-780 PDF icon

• Lo Que Cada Padre Debe Saber Sobre Estableciendo la Paternidad - DHS Pub 780-SP PDF icon


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