IM-149 10/17/00 IM-1MA & INST; IM-3MA & INST; FORMS MAN REV 33
|IM-1MA, MEDICAID APPLICATION/ELIGIBILITY
STATEMENT, AND INSTRUCTIONS; IM-3MA AND INSTRUCTIONS; INSTRUCTIONS FOR
COMPLETING YOUR MEDICAID APPLICATION
FORMS MANUAL REVISION #33
|The IM-1MA has been created to simplify
the Medicaid and cash assistance application process for the aged, blind
and disabled. This new form is concise and restricted to aged, blind
and disabled eligibility factors. It should be used for all aged
blind and disabled Medicaid and cash assistance applications, except those
taken in conjunction with Food Stamps, Temporary Assistance, or MC+.
As we strive to continually improve delivery of services to our clients, we are processing an increasing number of aged, blind and disabled Medicaid and cash assistance applications by mail, never seeing the applicant. In most cases, the mail-in procedure is a more efficient way to receive and process these applications. The IM-1MA is designed to better support the process than previous use of the IM-1 and IM-2D, and should be used for all mail-in applications. Do not use the IM-2 for mail-in applications.
In addition, the IM-3MA Instructions (the cover letter used in conjunction with mail-out medicaid applications) have been revised.
Form not available on-line, hard copy only