Application for Medicaid Recertification / Renewal Form - Washington, D.C. (Amharic)

Application for Medicaid Recertification / Renewal Form - Washington, D.C. (Amharic)

This is a legal document that was released by the Washington DC Department of Human Services - a government authority operating within Washington, D.C..

The document is provided in Amharic.

FAQ

Q: What is the Medicaid Recertification/Renewal Form?
A: It is a form to renew your Medicaid benefits.

Q: Who needs to complete the Medicaid Recertification/Renewal Form?
A: Anyone who currently has Medicaid benefits and needs to renew them.

Q: Is the Medicaid Recertification/Renewal Form available in Amharic?
A: Yes, the form is available in Amharic for those who prefer to use that language.

Q: How do I complete the Medicaid Recertification/Renewal Form?
A: You need to fill out the form with accurate and up-to-date information about your household, income, and expenses.

Q: When should I submit the Medicaid Recertification/Renewal Form?
A: You should submit the form before your current Medicaid benefits expire to ensure there is no gap in coverage.

Q: What supporting documents do I need to include with the Medicaid Recertification/Renewal Form?
A: You may need to include documents such as pay stubs, bank statements, or proof of expenses to verify the information provided on the form.

Q: What happens after I submit the Medicaid Recertification/Renewal Form?
A: The Department of Health Care Finance will review your form and notify you about the status of your Medicaid benefits renewal.

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Form Details:

  • Released on October 1, 2019;
  • The latest edition currently provided by the Washington DC Department of Human Services;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Washington DC Department of Human Services.

Download Application for Medicaid Recertification / Renewal Form - Washington, D.C. (Amharic)

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