SC DHHS 3400 2014 free printable template

Is PERSON 3 currently living in a DJJ group home 15. Does PERSON 4 want help paying for medical bills from the last 3 months 37. YEARLY INCOME Complete only if PERSON 4 s income changes from month to month. If you have more than four people to include ask for and complete DHHS Form 3400-01 for each additional person. STEP 3 1. Are you or is anyone in your family American Indian or Alaska Native If NO skip to Step 4. YES. If YES ask for and comple...

How to fill out dhhs form 3400 a

How to fill out SC DHHS 3400

1. Obtain the SC DHHS 3400 form from the official South Carolina Department of Health and Human Services website or local office.
2. Fill in your personal information at the top of the form including your name, address, and contact details.
3. Provide details about your household members, including their names and relationships to you.
4. Indicate your income sources and amounts, including wages, Social Security, and any other income.
5. Complete the sections related to your expenses, such as housing costs, utility bills, and medical expenses.
6. Review the form for accuracy and completeness before signing and dating it.
7. Submit the completed form to the appropriate department as instructed, either in-person or online.

Who needs SC DHHS 3400?

1. Individuals and families seeking assistance with medical coverage or financial support from the South Carolina Department of Health and Human Services.
2. Residents of South Carolina who need financial assistance or access to health services through the DHHS programs.

Instructions and Help about dhhs form 3400 a

Hello and welcome to the North Carolina Medicaid managed care webinar Before we get started with the presentation I'll share some quick housekeeping We've had such high interest in this webinar that we're broadcasting it live This means you'll need to be sure to have the audio on your computer turned on otherwise you will not be able to hear the webinar If you do not have audio on your computer you can call this bridge line 5 – 6 - 2 2 - 4 - 7 - 8 - 3 - 2 - 1 That bridge line again is 562-247-8321 You'll need to type in this access code 613-403-382 Again that access code 613-403-382 If you experience any technical difficulties please visit GoToMeeting and click support or call 1-888-646-0014 All attendees will be muted during the presentation If you have any questions please type them directly into the questions box in the toolbar at the side of your screen At the end the presentation we will open for Q&As and answer the questions that were submitted For future reference and for those who weren't able to attend we will email a link to the recording of today's presentation as well as post it on the Medicaid transformation page Please note the documents that will be reviewed during the presentation are posted on the North Carolina Medicaid playbook site, and you can see those URLs on the bottom of the screen You can click to the bottom of that screen that has the URLs Today's presentation will cover the North Carolina Medicaid managed care transition and its impact on beneficiaries the timeline for Open Enrollment and what to expect in terms of communication — beneficiaries and how you can partner with the enrollment broker to educate beneficiaries Now I'd like to introduce you to our panel of speakers We have Dave Richard Deputy Secretary Medicaid Sandy Terrell Director of Benefits and Services Medicaid and Eric Rubin Division President for Health Services at MAXIMUS I'll now turn it over to Dave to begin the presentation Good afternoon everybody I'm glad you could join us today We're — excited to have this conversation with you So we're going to start with a little of sort of level setting for everyone and then get into more detail about how the enrollment broker process will work and the — as we're moving forward But I'm going to do a little of just a level setting for folks about where we are in managed care and with what that looks like, so we're all using the same terminology So the first thing we always want to start with is the vision that North Carolina HHS has for our managed care transformation I jokingly say to folks often is that there a lot of vision statements that are sitting around offices that people don't look at This one at HHS we spend a lot of time thinking about it — it's really what what we're trying to achieve inside managed care And I'll read it because I think it's important for people to hear it is that we're improving the health and well-being of North Carolinians through an innovative whole person-centered and well...

People Also Ask about

What is the asset limit for Medicaid in South Carolina?

Income & Asset Limits for Eligibility 2023 South Carolina Medicaid Long-Term Care Eligibility for SeniorsType of MedicaidSingleIncome LimitAsset LimitInstitutional / Nursing Home Medicaid$2,742 / month*$2,000Medicaid Waivers / Home and Community Based Services$2,742 / month†$2,0001 more row • Feb 27, 2023

What is proof of income for Medicaid in SC?

Copies of pay stubs for the last 4 weeks or a letter from your employer that shows your last 4 weeks of GROSS pay.

What is the monthly income for Medicaid in SC?

Monthly Net Income Limit may not exceed $1,699 per month. The individual's resources must not exceed $2,000.

What is the most you can make to still qualify for Medicaid in SC?

South Carolina Medicaid? Household Size*Maximum Income Level (Per Year)1$14,5802$19,7203$24,8604$30,0004 more rows

What is the highest income to qualify for Medicaid in SC?

More than one income table may be applicable if more than one eligibility category appears to be appropriate.Breast & Cervical Cancer Program. Family SizeMonthly Income (Eff. 03/01/2023)Annual Income (Eff. 03/01/2023)12,430.0029,160.0023,287.0039,440.0034,144.0049,720.0045,000.0060,000.005 more rows

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What is SC DHHS 3400?

SC DHHS 3400 is a form used by the South Carolina Department of Health and Human Services to collect information related to Medicaid services and eligibility.

Who is required to file SC DHHS 3400?

Individuals applying for Medicaid or those who have changes in their eligibility status are required to file SC DHHS 3400.

How to fill out SC DHHS 3400?

To fill out SC DHHS 3400, you need to provide personal information, income details, and any relevant documentation to support the application.

What is the purpose of SC DHHS 3400?

The purpose of SC DHHS 3400 is to evaluate eligibility for Medicaid services and to ensure that the correct benefits are provided to applicants.

What information must be reported on SC DHHS 3400?

Information that must be reported on SC DHHS 3400 includes personal identification details, household income, and any changes in circumstances affecting eligibility.