WebEven after you apply for Medicaid benefits in West Virginia, you may need to go to the office to speak with program workers. For this reason, it is important that you know how to contact the Putnam County DHHR Medicaid Office. This Winfield Medicaid office is located at: Putnam County DHHR Medicaid Office 3405 Winfield Rd, Winfield, WV … WebAPPLICATION FOR ADULT MEDICAID I. Applicant Information Name: LAST FIRST MI Sex: M F Date of Birth: __ __ / __ __ / __ __ Month Day Year Address: Route and Box or …

Medicaid – documents required for apply and coverage limitation

WebMedicaid is a joint federal and state program that, together with the Children’s Health Insurance Program (CHIP), provides health coverage to over 72.5 million Americans, including children, pregnant women, parents, seniors, and individuals with disabilities. Medicaid is the single largest source of health coverage in the United States. WebNO 2. I understand it is an eligibility requirement that I must cooperate with the Department of Health and Human Resources and with any provider of medical services in pursuing … michael\u0027s door wreath

Indiana Medicaid: Members: Apply for Coverage

WebGrant Forms and Documents. A-1000 (Subrecipient Grantee Information Form - Revised April 2024) Authorized Signature Form. Budget Narrative (Word) Detail Line Item Budget (Excel) Federal Grant Application Cover Sheet. Grantee Audit Certification & Federal Expenditure Disclosure (GACFED) New Vendor Checklist. Sworn Statement of … Web350 Capitol Street, Room 251 • Charleston, West Virginia 25301 • 304-558-1700 • 304-558-1451 (fax) • dhhr.wv.gov Department of Health and Human Resources Web1. Check your mail. You'll get a reminder letter from the West Virginia Department of Health and Human Resources (DHHR) to renew your coverage. The letter will come around the … how to change write protected drive